DUCKSOO KIM MD NPI 1922055326

NPI Information

NPI: 1922055326
Provider Name: DUCKSOO KIM, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
1400 VFW PKWY
WEST ROXBURY, MA
ZIP 02132
Phone: (857) 203-6414
Get Directions

Ducksoo Kim, MD is a vascular and interventional radiology radiology in West Roxbury, MA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Ducksoo Kim, MD NPI is 1922055326. 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:

1400 VFW PKWY
WEST ROXBURY, MA
ZIP 02132-927
Phone: (857) 203-6414

The enumeration date for this NPI number is 5/30/2006 and was last updated on 6/6/2023.

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	41575	MASSACHUSETTS	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	41575	MASSACHUSETTS	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	6171095	MEDICAID	MASSACHUSETTS

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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