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KYOUNG SOO BAE M.D.
NPI 1033114848
Radiology - Diagnostic Radiology in Clinton Township, MI

Active since June 17, 2005
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 741-3772(586) 741-4604 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyoung Soo Bae M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYOUNG SOO BAE M.D. (NPI 1033114848) is an individual diagnostic radiology provider in Clinton Township, Michigan, licensed in Michigan (4301031350) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1033114848
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKYOUNG SOO BAECredential: M.D.
Location Address36175 HARPER AVEClinton Township, MI 48035-3274
Mailing Address36175 Harper AveClinton Township, MI 48035-3274 · (586) 741-3772 · Fax (586) 741-4604
Phone(586) 741-3772
Fax(586) 741-4604
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1033114848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301031350
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
36175 HARPER AVE, Clinton Township, MI 48035
Open in Google Maps ↗

Other Identifiers 6

Other0H26188MI · Bcbs Provider Number
Other0Q26008MI · Bcbs Provider Number
Medicaid3558987MI
Medicare UPINB47411MI
Other1006439MI · Mclaren Health
Other110922MI · Great Lakes Health

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL P. TRPKOVSKI M.D.
Radiology (Vascular & Interventional Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 464-0740
ROJANANDHAM SAMUDRALA M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
MRS. CYNTHIA MARIE WHEELER M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
DR. AVA ANN POWELL D.O.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 464-0731
ANTHONY P MUNACO M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
PROF. VICTOR MALDONADO M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
SUNDEEP HARISH PATEL
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
ANTHONY L ALCANTARA M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyoung Bae's NPI number?

The NPI number for Kyoung Bae is 1033114848. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kyoung Bae located?

Kyoung Bae practices at 36175 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 741-3772.

What is Kyoung Bae's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kyoung Bae was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.