National Provider Identifier Database

MYUNG SUP KIM, MD – NPI #1306849492
Diagnostic Radiology

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

Contact Information

MYUNG SUP KIM, MD
952 SETON DR
CUMBERLAND, MD  21502-1950
Phone: 301-777-3522
Fax: 301-777-1902
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Neuroimaging 2085D0003X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Specialist 174400000X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MYUNG SUP KIM

NPI Number 1306849492
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 10/20/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MD License #: D26261
  • MD Medicaid: 526991100
  • PA Medicaid: 0010496230
  • WV Medicaid: 0117502000
  • WV Medicaid: 2001896000
  • MD Other: J2480003 GHMSI
  • MD Other: J2490003 GHMSI
  • MD Other: S3660001 GHMSI
  • WV Other: 001708869 MT ST BLUE SHIELD
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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