AILEEN KIM (NPI# 1770993255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770993255 |
| Entity Type | Individual |
| Full Name | AILEEN KIM |
| Credential | MD |
| Practice Address |
30077 Business Center Dr Charlotte Hall MD 20622-3101 |
| Mailing Address |
Po Box 418837 Boston MA 02241-2231 |
| Practice Telephone | 3018842508 |
| Practice Fax Number | 3018842476 |
| Mailing Telephone | 8888465527 |
| Mailing Fax Number | 6073247615 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D0087833 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Eatondale Rd Apt 202, Durham, NC 277045925 | 8184801146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154483733 | Aileen D Kim | Psychiatry & Neurology | 2001 Jefferson Davis Hwy # 800, Arlington, VA 22202-3603 | 2006-12-13 |
| 1700491412 | Aileen Kim | Social Worker | 57 Saint Marks Pl, New York, NY 10003-7902 | 2020-09-10 |
| 1942812466 | Aileen Kim | Counselor | 231 E 3rd St Ste G106, Los Angeles, CA 90013-1493 | 2020-08-17 |
| 1689016255 | Aileen Kim | Dentist | 933 S Sunset Ave, 208, West Covina, CA 91790-3410 | 2013-07-24 |
| 1821357443 | Aileen Chyn Kim | Dentist | 5249 Duke St, Suite L-10, Alexandria, VA 22304-2926 | 2012-05-16 |
| 1255360657 | Aileen Kim | Internal Medicine | 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 | 2006-06-30 |
| Street Address |
30077 BUSINESS CENTER DR |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1669579025 | Veterans Administration Medical Center | Clinic/Center | 29431 Charlotte Hall Road, Vamc Clinic, Charlotte Hall, MD 20622 | 2006-09-20 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1295055481 | Deborah Citrin | Radiology | 10 Crc B2 3500, 10 Center Drive, Bethesda, MD 20892-0001 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.