| Hwaok Kim Md Pllc | |
|
2735 Buffalo Rd Suite 1 Rochester NY 14624-1337 | |
| (585) 436-1620 | |
| (585) 527-9049 |
| Full Name | Hwaok Kim Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2735 Buffalo Rd, Rochester, New York |
| Authorized Official Name and Position | Hwaok Kim (DOCTOR/DOCTOR) |
| Authorized Official Contact | 5854361620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hwaok Kim Md Pllc 2735 Buffalo Rd Suite 1 Rochester NY 14624-1337 Ph: (585) 436-1620 | Hwaok Kim Md Pllc 2735 Buffalo Rd Suite 1 Rochester NY 14624-1337 Ph: (585) 436-1620 |
| NPI Number | 1215173760 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 5698831782 |
|---|---|
| Medicare Enrollment ID | O20090225000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215173760 | NPI | - | NPPES |
| 101727BJ | Other | NY | MVP/PREFERRED CARE |
| P01020836 | Other | NY | EXCELLUS BLUE CROSS/BLUE SHIELD |
| P020208136 | Other | NY | EXCELLUS HMO'S |
| 03118870 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 208136 (New York) | Primary |
| Provider Name | Hwaok Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356308043 PECOS PAC ID: 6103724083 Enrollment ID: I20031230000320 |
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