Derek Taeyoung Kim, | |
1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | |
(301) 754-7000 | |
Not Available |
Full Name | Derek Taeyoung Kim |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1500 Forest Glen Rd, Silver Spring, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225533045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D0100497 (Maryland) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | D0100497 (Maryland) | Primary |
Entity Name | Professional Services Of Holy Cross |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
Mailing Address | Practice Location Address |
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Derek Taeyoung Kim, 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 Ph: () - | Derek Taeyoung Kim, 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 Ph: (301) 754-7000 |
Sameer A. Pandit, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Dr. Vivek Victor Mathur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Kaiser Permanente Holy Cross Hospital, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Wayne Hwang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Gregory Bender, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 International Dr, Suie 103, Silver Spring, MD 20906 Phone: 301-598-0123 | |
Brittany Harrison, BS, RDCS, RVT, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 2304 Cold Meadow Way, Silver Spring, MD 20906 Phone: 724-799-9565 | |
Karoly Andras Viragh, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12720 Epping Ter, Silver Spring, MD 20906 Phone: 310-343-8328 |