JIN TAE KIM M.D.
NPI 1689791493
Radiology - Diagnostic Radiology in Richmond, VA

Active since March 25, 2007
1250 E MARSHALL ST, RADIOLOGY, RICHMOND, VA 23298(804) 628-3580(804) 628-3593 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jin Tae Kim M.d. NPPES

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

JIN TAE KIM M.D. (NPI 1689791493) is an individual diagnostic radiology provider in Richmond, Virginia, licensed in Virginia (0101245471) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1689791493
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJIN TAE KIMCredential: M.D.
Location Address1250 E MARSHALL ST, RADIOLOGYRichmond, VA 23298-5051
Mailing Address8599 Haven Ave., Suite 300Rancho Cucamonga, CA 91730-4849 · (909) 620-8180 · Fax (909) 919-7288
Fax(804) 628-3593
Sole ProprietorNo
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 22, 2011
NPI 1689791493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0101245471 Licensed in CA · A73178 Licensed in TX · M5291
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1250 E MARSHALL ST, Richmond, VA 23298

Other Identifiers 5

Other195889403TX · Cshcn
Medicare PINP00681462TX
Medicaid195889402TX
Other8BC330TX · Bcbstx (blue Cross Blue Shield Texas)
Medicare PIN8K8155TX

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.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1689791493. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Jin Kim located?

Jin Kim practices at 1250 E Marshall St Radiology, Richmond, VA 23298. The listed phone number is (804) 628-3580.

What is Jin Kim'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 Jin Kim was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.