Alexander Y Kim, MD
Radiology, Vascular & Interventional Radiology in Oxon Hill, MD. Individual provider (NPI-1).
NPI number1215183991
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1215183991
- Entity type
- Individual (NPI-1)
- Name
- Alexander Y Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2008
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | D74710 | MD | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | MD037420 | DC |
Other names
- Alex Y Kim (Other Name)
Practice location
174 Waterfront St Ste 320Oxon Hill, MD 20745-1162
Phone 301-276-5670
Mailing address
174 Waterfront StreetSte 320
Oxon Hill, MD 20745-1162
Phone 301-276-5670 · Fax 206-401-5919
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