National Provider Identifier Database

JAE K KIM, MD – NPI #1124099213
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JAE K KIM, MD
4729 E SUNRISE DR # 315
TUCSON, AZ85718-4534
Phone: 520-429-2023
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for JAE K KIM

NPI Number 1124099213
Credentials MD
Entity Individual
Enumeration date 01/28/2006
Last updated 11/09/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 32890
  • AZ Medicaid: 861725
  • AZ Other: 005472 GROUP MEDICAID ID
  • AZ Other: ZWCBBM GROUP MEDICARE ID
  • AZ Other: CS7943 GROUP MEDICARE RAILROAD ID & PTAN
  • AZ Other: 1841261989 GROUP NPI
  • AZ Other: P00109556 MEDICARE RAILROAD
  • AZ Other: 1124099213 PHYSICIAN INDIVIDUAL NPI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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