| Dr Brian Kim, DO | |
|
206 7th St, Coaldale, PA 18218-1417 | |
| (844) 526-6545 | |
| Not Available |
| Full Name | Dr Brian Kim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 206 7th St, Coaldale, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912361023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | OS020848 (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Kim, DO 206 7th St, Coaldale, PA 18218-1417 Ph: (844) 526-6545 | Dr Brian Kim, DO 206 7th St, Coaldale, PA 18218-1417 Ph: (844) 526-6545 |
Dilliswar Sahoo, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 48 W Phillip St, Coaldale, PA 18218 Phone: 570-645-2184 Fax: 570-645-3297 | |
Dr. Michael Paul Sabol, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-680-8116 | |
Dr. Jeffrey Michael Hostetter, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 484-526-6643 |