Dr Kak Rae Kim, MD | |
56-45 Main Street, W-ll300, Flushing, NY 11355-5046 | |
(718) 445-0220 | |
(718) 939-1167 |
Full Name | Dr Kak Rae Kim |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 56-45 Main Street, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427252899 | NPI | - | NPPES |
P00871353 | Other | NY | RAILROAD |
03113173 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 253086 (New York) | Primary |
208600000X | Surgery | 253086 (New York) | Secondary |
Entity Name | Vascular Specialty Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003853706 PECOS PAC ID: 2466443197 Enrollment ID: O20040521000221 |
Entity Name | Surgery Center Of York Road |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1417421710 PECOS PAC ID: 7810220803 Enrollment ID: O20190606000174 |
Entity Name | Vein And Vascular Institute Of Central Maryland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033683339 PECOS PAC ID: 9436485042 Enrollment ID: O20190719000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Kak Rae Kim, MD 56-45 Main Street, W-ll300, Flushing, NY 11355-5046 Ph: (718) 445-0220 | Dr Kak Rae Kim, MD 56-45 Main Street, W-ll300, Flushing, NY 11355-5046 Ph: (718) 445-0220 |
Dr. Frederic Weinbaum, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5645 Main St, Rm-m204, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Teagan Lynn Thorson, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 425-246-8328 | |
Steven Yeh-geng Chao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, W-ll300, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Li Tong Du, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Dr. Chih-ching Hsu, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4260 Main St, Medical Plaza, Suite B, Flushing, NY 11355 Phone: 718-886-4171 Fax: 718-886-4514 | |
Stephen Merola, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Dr. Rafael Fazylov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Rm M204, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 |