Dr. Kim Ching Man, D.O.
Internal Medicine, Clinical Cardiac Electrophysiology in Berkley, MI. Individual provider (NPI-1).
NPI number1548210644
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1548210644
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kim Ching Man
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 5101009642 | MI | Yes |
| 174400000X | Specialist | 5101009642 | MI | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 5101009642 | MI |
Practice location
27901 Woodward AveSuite 300
Berkley, MI 48072-0919
Phone 248-545-0070 · Fax 248-545-4850
Mailing address
27901 Woodward AveSuite 300
Berkley, MI 48072-0919
Phone 248-545-0070 · Fax 248-545-4850
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