Jae Suk Kim
MD | Pediatrics | Male
Jae Suk Kim, MD is a St Clair Shores, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jae Suk Kim is
24025 Greater Mack, Suite 103, St Clair Shores, Michigan - 48080. He can be contacted on phone at
586-777-8280 and fax number 586-777-8688.
Jae Suk Kim is a sole proprietor of his business.
NPI number (Unique professional ID) for Jae Suk Kim is
1790899755 which was assigned by NPPES on 18 Aug, 2006 and it was last updated on 08 Jul, 2007.
Jae Suk Kim license number is
4301033045 for Pediatrics (208000000X) in Michigan.
Jae Suk Kim is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jae Suk Kim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jae Suk Kim |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jae Suk Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 24025 Greater Mack, Suite 103
St Clair Shores, MI, 48080
United States |
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| Phone Number : | 586-777-8280 |
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| Fax Number : | 586-777-8688 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790899755 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jae Suk Kim are as mentioned. Primary taxonomy code for Jae Suk Kim, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301033045 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Jae Suk Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1947637 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 24025 Greater Mack, Suite 103
St Clair Shores, MI, 48080
United States |
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| Phone Number : | 586-777-8280 |
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| Fax Number : | 586-777-8688 |
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Business Location:
Patients can refer following map for directions to
Jae Suk Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.