| Derek Taeyoung Kim, | |
|
1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | |
| (301) 754-7000 | |
| Not Available |
| Full Name | Derek Taeyoung Kim |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 1500 Forest Glen Rd, Silver Spring, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225533045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0100497 (Maryland) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | D0100497 (Maryland) | Primary |
| Entity Name | Professional Services Of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Entity Name | Winchester Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20170106000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Taeyoung Kim, 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 Ph: () - | Derek Taeyoung Kim, 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 Ph: (301) 754-7000 |
Sameer A. Pandit, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Mr. Cliff Asabre Debrah, RT Radiology Medicare: Not Enrolled in Medicare Practice Location: 14012 Castle Ridge Way, Silver Spring, MD 20904 Phone: 240-338-6663 | |
Dr. Vivek Victor Mathur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Kaiser Permanente Holy Cross Hospital, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Wayne Hwang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 Phone: 301-681-3003 Fax: 301-681-5868 | |
Brittany Harrison, BS, RDCS, RVT, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 2304 Cold Meadow Way, Silver Spring, MD 20906 Phone: 724-799-9565 | |
Karoly Andras Viragh, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12720 Epping Ter, Silver Spring, MD 20906 Phone: 310-343-8328 |