Individual provider · Type 1 NPI

Jin Tae Kim, MD

Diagnostic Radiology Physician · Richmond, VA

NPI number 1689791493 Active

Practice location

1250 E Marshall St, Radiology
Richmond, VA 23298-5051

Call (804) 628-3580 Map

Fax (804) 628-3593

Mailing address

8599 Haven Ave., Suite 300
Rancho Cucamonga, CA 91730-4849

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XA73178 (CA)
Diagnostic Radiology Physician 2085R0202XM5291 (TX)
Diagnostic Radiology Physician Primary 2085R0202X0101245471 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689791493

Jin Tae Kim, MD's National Provider Identifier is 1689791493, issued on Mar 25, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Richmond, VA. The record was last updated on Jul 22, 2011.