| David Daewhan Kim, MD | |
|
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
| (313) 916-2436 | |
| Not Available |
| Full Name | David Daewhan Kim |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 35 Years |
| Location | Henry Ford Health System, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609940113 | NPI | - | NPPES |
| 250Q260840 | Other | BLUE CROSS-BLUE CROSS | |
| DK066691 | Other | CHAMPUS-CHAMPUS | |
| DK066691 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 447344610 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301066691 (Michigan) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 4301066691 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170115 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000587 |
| Mailing Address | Practice Location Address |
|---|---|
| David Daewhan Kim, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | David Daewhan Kim, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 |
Monica Marie Loving, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Dr. Medha Shah, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-2550 | |
Mr. Slawomir Edward Janiszewski, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-3511 | |
Peter Hanna Gumma, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17187 Schaefer Hwy, Detroit, MI 48235 Phone: 313-367-2767 Fax: 313-367-2818 | |
Dr. Matthew Thomas Santa Barbara, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2181 | |
Ali Ahmad Bitar, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Rehabilitation Institute Of Michigan, 261 Mack Blvd, Detroit, MI 48201 Phone: 313-966-0544 Fax: 313-745-1065 | |
Nivin Porwal, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1301 Orleans St Apt 1811e, Detroit, MI 48207 Phone: 614-256-1951 |