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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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