Joon K Kim, MD | |
840 Oakwood Blvd, Dearborn, MI 48124-2319 | |
(313) 359-7650 | |
(313) 359-7660 |
Full Name | Joon K Kim |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 840 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033153903 | NPI | - | NPPES |
1407741 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301039140 (Michigan) | Primary |
Entity Name | Drs. Harris, Birkhill, Wang, Songe And Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679529978 PECOS PAC ID: 3779495338 Enrollment ID: O20031103000248 |
Mailing Address | Practice Location Address |
---|---|
Joon K Kim, MD Po Box 2802, Dearborn, MI 48123-2929 Ph: (313) 359-7650 | Joon K Kim, MD 840 Oakwood Blvd, Dearborn, MI 48124-2319 Ph: (313) 359-7650 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |