| Kwon Soo Kim, MD | |
|
700 Spruce St., Suite 403, Philadelphia, PA 19106-5109 | |
| (215) 829-8420 | |
| (215) 829-8418 |
| Full Name | Kwon Soo Kim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 700 Spruce St., Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376064097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD476584 (Pennsylvania) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | MD476584 (Pennsylvania) | Primary |
| Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Kwon Soo Kim, MD 700 Spruce St., Suite 403, Philadelphia, PA 19106-5109 Ph: (215) 829-8420 | Kwon Soo Kim, MD 700 Spruce St., Suite 403, Philadelphia, PA 19106-5109 Ph: (215) 829-8420 |
Philippe Olivier Szapary, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949 | |
Dr. Jamie L. Garfield, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867 | |
Maria Esther Escorcia De Leon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943 | |
Cherag Daruwala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123 | |
Dr. Robert Burke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208 | |
Eva Hassan Alsheik, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071 | |
Dr. Jason Thomas Ackrivo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871 |