Si Young Kim, MD | |
15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | |
(586) 263-2373 | |
Not Available |
Full Name | Si Young Kim |
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Gender | Male |
Speciality | Anesthesiology |
Location | 15855 19 Mile Rd, Clinton Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528115359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301041133 (Michigan) | Primary |
Entity Name | Macomb Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639248206 PECOS PAC ID: 2860486388 Enrollment ID: O20040408001058 |
Mailing Address | Practice Location Address |
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Si Young Kim, MD 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 263-2373 | Si Young Kim, MD 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 263-2373 |
Amin R Khan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2373 | |
Li Zhang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-273-2373 | |
Robert Michael Flores, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2373 | |
Dr. Tawfiq E Nakhleh, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 43171 Dalcoma Dr, Suite 3, Clinton Twp, MI 48038 Phone: 586-286-0639 Fax: 586-286-0657 | |
Nancy A Herringshaw, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2373 | |
Robert R Peleman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2373 |