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CHUL K KWAK MD
NPI 1669460598
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since October 13, 2005
3401 N BROAD ST, 1ST FL PARK AVENUE PAVILLON, PHILADELPHIA, PA 19140(215) 707-7237(215) 707-9389 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chul K Kwak Md NPPES

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

CHUL K KWAK MD (NPI 1669460598) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD032188L) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1669460598
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCHUL K KWAKCredential: MD
Location Address3401 N BROAD ST, 1ST FL PARK AVENUE PAVILLONPhiladelphia, PA 19140
Mailing AddressPo Box 827783Philadelphia, PA 19182-7783 · (215) 707-7237 · Fax (215) 707-9389
Phone(215) 707-7237
Fax(215) 707-9389
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1669460598 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 PA · MD032188L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3401 N BROAD ST, Philadelphia, PA 19140
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Other Identifiers 3

Medicaid0017322120007PA
Medicare ID-Type Unspecified047613
Medicare UPINC54074

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.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Chul Kwak's NPI number?

The NPI number for Chul Kwak is 1669460598. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Chul Kwak located?

Chul Kwak practices at 3401 N Broad St 1st Fl Park Avenue Pavillon, Philadelphia, PA 19140. The listed phone number is (215) 707-7237.

What is Chul Kwak'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 Chul Kwak was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.