MYUNG SUP KIM, MD, Diagnostic Radiology CUMBERLAND, MD

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	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Diagnostic Neuroimaging	2085D0003X
Diagnostic Ultrasound	2085U0001X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Specialist	174400000X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for MYUNG SUP KIM · (Male)

NPI #	`1306849492`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/23/2005
Last updated	10/20/2021 - About 5 years ago
Sole proprietor ¹	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(s)	GRANT MEMORIAL HOSPITAL - (Critical Access) P O BOX 1019 PETERSBURG, WV 26847 UPMC PRESBYTERIAN SHADYSIDE - (Acute Care) 200 LOTHROP STREET PITTSBURGH, PA 15213

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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MYUNG SUP KIM, MD – NPI #1306849492Diagnostic Radiology

Contact Information

Specialty

NPI Profile & details for MYUNG SUP KIM · (Male)

Reviews for MYUNG SUP KIM

MYUNG SUP KIM, MD – NPI #1306849492
Diagnostic Radiology