| David H Kim, Md, Prof. Corp. | |
|
5380 S Rainbow Blvd Ste 310 Las Vegas NV 89118-1880 | |
| (702) 939-1600 | |
| Not Available |
| Full Name | David H Kim, Md, Prof. Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5380 S Rainbow Blvd Ste 310, Las Vegas, Nevada |
| Authorized Official Name and Position | David H Kim (PRESIDENT) |
| Authorized Official Contact | 7029391600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David H Kim, Md, Prof. Corp. 5380 S Rainbow Blvd Ste 310 Las Vegas NV 89118-1880 Ph: (702) 939-1600 | David H Kim, Md, Prof. Corp. 5380 S Rainbow Blvd Ste 310 Las Vegas NV 89118-1880 Ph: (702) 939-1600 |
| NPI Number | 1134302771 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 3375505852 |
|---|---|
| Medicare Enrollment ID | O20041027000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134302771 | NPI | - | NPPES |
| 100500537 | Medicaid | NV | |
| 38048 | Other | NV | MEDICARE, GROUP |
| 38049 | Other | NV | MEDICARE, INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9568 (Nevada) | Primary |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705661 PECOS PAC ID: 8729040209 Enrollment ID: I20070115000355 |
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