Kim, Moon-Chul

Kim, Moon-Chul is an individual health care provider with primary practice located at 1764 Stonebridge Dr S , Ann Arbor MI 48108-8569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kim, Moon-Chul can be contacted via phone (734) 623-0238.

Contact Information

Primary practice address
1764 Stonebridge Dr S Ann Arbor MI 48108-8569
Phone: (734) 623-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 4301079022 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301079022 Michigan

Profile Details

NPI number 1962583112
LBN Legal business name Kim, Moon-Chul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962583112 NPPES
Michigan MEDICAID 4347075

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