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NPI Code Detail

MEDICARE: YOUNG H KIM M.D.

MEDICARE: YOUNG H KIM M.D.
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
12085R0001XRadiation Oncology Physician4301034950MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1920002279OTHERMIRR MEDICARE

General Provider Information

NPI Number : 1477530202
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG H KIM M.D.
Provider Business Mailing Address
First Line : 4449 FASHION SQUARE BLVD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-5217
Country : US
Telephone Number : 989-790-0007
Fax Number : 989-790-7547
Provider Business Practice Location Address
First Line : 800 S WASHINGTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2551
Country : US
Telephone Number : 989-776-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 11/02/2011

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Directions to “ YOUNG H KIM M.D.” Practice Location

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