JIN TAE KIM M.D. NPI 1689791493

NPI Information

NPI: 1689791493
Provider Name: JIN TAE KIM, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1250 E MARSHALL ST
RADIOLOGY
RICHMOND, VA
ZIP 23298
Phone: (804) 628-3580
Get Directions

Jin Tae Kim, M.D. is a diagnostic radiology radiology in Richmond, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jin Tae Kim, M.D. NPI is 1689791493. 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:

1250 E MARSHALL ST
RADIOLOGY
RICHMOND, VA
ZIP 23298-051
Phone: (804) 628-3580
Fax: (804) 628-3593

The enumeration date for this NPI number is 3/25/2007 and was last updated on 7/22/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	A73178	CALIFORNIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	M5291	TEXAS	No
3	2085R0202X	Radiology	Diagnostic Radiology	0101245471	VIRGINIA	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	195889403	OTHER	TEXAS	CSHCN
2	P00681462	MEDICARE PIN	TEXAS
3	195889402	MEDICAID	TEXAS
4	8BC330	OTHER	TEXAS	BCBSTX (BLUE CROSS BLUE SHIELD TEXAS)
5	8K8155	MEDICARE PIN	TEXAS

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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