JAE HO KIM M.D.
NPI 1902966310
Radiology - Radiation Oncology in Detroit, MI

Active since December 08, 2006
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600(313) 916-3235 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jae Ho Kim M.d. NPPES

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

JAE HO KIM M.D. (NPI 1902966310) is an individual radiation oncology provider in Detroit, Michigan, licensed in Michigan (4301055250) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1902966310
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAE HO KIMCredential: M.D.
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · (313) 916-2600
Fax(313) 916-3235
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902966310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in MI · 4301055250
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2799 W GRAND BLVD, Detroit, MI 48202

Accepted Insurance

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Jae Ho Kim's NPI number?

The NPI number for Jae Ho Kim is 1902966310. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jae Ho Kim located?

Jae Ho Kim practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Jae Ho Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

What insurance does Jae Ho Kim accept?

Health plans from Blue Care Network of Michigan list Jae Ho Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Ho Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.