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NPI Code Detail

MEDICARE: MICHAEL YOUNSHIK GHIM MD

MEDICARE: MICHAEL YOUNSHIK GHIM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician05-01941NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1809231OTHERNCPARTNERS
2143RNOTHERNCNC BCBS
339-08922OTHERNCUHC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083649289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL YOUNSHIK GHIM MD
Provider Business Mailing Address
First Line : 6773 COBBLE CREEK RD
Second Line : APT 1B
City : WHITSETT
State : NC
Zip : 27377-8721
Country : US
Telephone Number : 336-501-5556
Fax Number :
Provider Business Practice Location Address
First Line : 2005 PISGAH CHURCH RD
Second Line : SUITE A
City : GREENSBORO
State : NC
Zip : 27455-3309
Country : US
Telephone Number : 336-701-2662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/14/2015

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