Jang Kim, is a
Radiology - Diagnostic Radiology physician based in Ada, Oklahoma. Jang Kim is licensed to practice in New York (license number 1175811) and his current practice location is 1001 N Country Club Rd, Ada, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 421-4570.
NPI number for Jang Kim is 1467513135 and his current mailing address is 1001 N Country Club Rd, Ada, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467513135.
Physician's Profile
| Full Name | Jang Kim |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1001 N Country Club Rd, Ada, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467513135
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/23/2007
Medical Identifiers
Medical identifiers for Jang Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467513135 | NPI | - | NPPES |
| 1175811 | Other | NY | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1175811 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jang Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jang Kim,
1001 N Country Club Rd,
Ada, OK 74820-2847
Ph: (580) 421-4570 | Jang Kim,
1001 N Country Club Rd,
Ada, OK 74820-2847
Ph: (580) 421-4570 |
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