DR. KAK RAE KIM M.D. NPI 1427252899

NPI Information

NPI: 1427252899
Provider Name: DR. KAK RAE KIM, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
56-45 MAIN STREET
W-LL300
FLUSHING, NY
ZIP 11355
Phone: (718) 445-0220
Get Directions

DR. Kak Rae Kim, M.D. is a vascular surgery surgery in Flushing, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Kak Rae Kim, M.D. NPI is 1427252899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

56-45 MAIN STREET
W-LL300
FLUSHING, NY
ZIP 11355-046
Phone: (718) 445-0220
Fax: (718) 939-1167

The NPI 1427252899 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 4/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		253086	NEW YORK	No
2	2086S0129X	Surgery	Vascular Surgery	253086	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G400007280	MEDICARE PIN
2	P00871353	OTHER	NEW YORK	RAILROAD
3	03113173	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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