Chul H Kim, MD is a
Pediatrics physician based in San Carlos, Arizona. Chul H Kim is licensed to practice in Maryland (license number D18717) and his current practice location is 223 Cibeque Circle Road, San Carlos, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 475-7219.
NPI number for Chul H Kim is 1114036282 and his current mailing address is Po Box 208, San Carlos, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114036282.
Physician's Profile
| Full Name | Chul H Kim |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 223 Cibeque Circle Road, San Carlos, Arizona |
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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: 1114036282
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 11/06/2013
Medical Identifiers
Medical identifiers for Chul H Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114036282 | NPI | - | NPPES |
| 888935 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | D18717 (Maryland) | 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. Chul H 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 |
|---|
Chul H Kim, MD
Po Box 208,
San Carlos, AZ 85550-0208
Ph: (928) 475-7219 | Chul H Kim, MD
223 Cibeque Circle Road,
San Carlos, AZ 85550
Ph: (928) 475-7219 |
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