| Dong H Kim, MD | |
|
840 Oakwood Blvd, Dearborn, MI 48124-2319 | |
| (313) 359-7650 | |
| (313) 359-7660 |
| Full Name | Dong H Kim |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 53 Years |
| Location | 840 Oakwood Blvd, Dearborn, 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 |
|---|---|---|---|
| 1083658942 | NPI | - | NPPES |
| 2583510 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301054718 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Radiology Associates Llc | 1658350764 | 58 |
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Carolina Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225014657 PECOS PAC ID: 1658350764 Enrollment ID: O20040714000287 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dong H Kim, MD Po Box 2802, Dearborn, MI 48123-2929 Ph: (313) 359-7650 | Dong H Kim, MD 840 Oakwood Blvd, Dearborn, MI 48124-2319 Ph: (313) 359-7650 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Sophia M Roumanis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Michael F Zydeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 |