Kim, Myung-Sup

Kim, Myung-Sup is an individual health care provider with primary practice located at 952 Seton Dr , Cumberland MD 21502-1950. He recently has 8 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Myung-Sup can be contacted via phone (301) 777-3522.

Contact Information

Primary practice address
952 Seton Dr Cumberland MD 21502-1950
Phone: (301) 777-3522
Fax: (301) 777-1902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D26261 Maryland
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X D26261 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X D26261 Maryland
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X D26261 Maryland
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X D26261 Maryland
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D26261 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X D26261 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D26261 Maryland

Profile Details

NPI number 1306849492
LBN Legal business name Kim, Myung-Sup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 20th, 2021 - about 4 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 1306849492 NPPES
Maryland Other J2480003 GHMSI
Maryland MEDICAID 2001896000 GHMSI
Maryland MEDICAID 0117502000 GHMSI
Maryland MEDICAID 526991100 GHMSI
Maryland Other S3660001 GHMSI
Maryland MEDICAID 0010496230 GHMSI
Maryland Other 001708869 GHMSI
Maryland Other J2490003 GHMSI

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