| Kyoung Soo Bae, MD | |
|
36175 Harper Ave, Clinton Township, MI 48035-3274 | |
| (586) 741-3772 | |
| (586) 741-4604 |
| Full Name | Kyoung Soo Bae |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 36175 Harper Ave, Clinton Township, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033114848 | NPI | - | NPPES |
| 1006439 | Other | MI | MCLAREN HEALTH |
| 3558987 | Medicaid | MI | |
| 0H26188 | Other | MI | BCBS PROVIDER NUMBER |
| 0Q26008 | Other | MI | BCBS PROVIDER NUMBER |
| 110922 | Other | MI | GREAT LAKES HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301031350 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyoung Soo Bae, MD 36175 Harper Ave, Clinton Township, MI 48035-3274 Ph: (586) 741-3772 | Kyoung Soo Bae, MD 36175 Harper Ave, Clinton Township, MI 48035-3274 Ph: (586) 741-3772 |
Michael P. Trpkovski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-464-0740 | |
Cadie Lee Cunningham, Radiology Medicare: Not Enrolled in Medicare Practice Location: 38654 Bay Ln, Clinton Township, MI 48038 Phone: 586-854-2533 | |
Rojanandham Samudrala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Mrs. Cynthia Marie Wheeler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Anthony P Munaco, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Prof. Victor Maldonado, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 |