Kyoung Soo Bae, MD - Radiology in Clinton Township, MI

Kyoung Soo Bae, MD is a Radiology - Diagnostic Radiology physician based in Clinton Township, Michigan. Kyoung Soo Bae is licensed to practice in Michigan (license number 4301031350) and his current practice location is 36175 Harper Ave, Clinton Township, Michigan. He can be reached at his office (for appointments etc.) via phone at (586) 741-3772.

NPI number for Kyoung Soo Bae is 1033114848 and his current mailing address is 36175 Harper Ave, Clinton Township, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033114848.

Contact Information

Kyoung Soo Bae, MD
36175 Harper Ave,
Clinton Township, MI 48035-3274
(586) 741-3772
(586) 741-4604



Physician's Profile

Full NameKyoung Soo Bae
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location36175 Harper Ave, Clinton Township, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033114848
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 04/20/2008

Medical Identifiers

Medical identifiers for Kyoung Soo Bae such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033114848NPI-NPPES
1006439OtherMIMCLAREN HEALTH
3558987MedicaidMI
0H26188OtherMIBCBS PROVIDER NUMBER
0Q26008OtherMIBCBS PROVIDER NUMBER
110922OtherMIGREAT LAKES HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301031350 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyoung Soo Bae is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyoung Soo Bae, MD
36175 Harper Ave,
Clinton Township, MI 48035-3274

Ph: (586) 741-3772
Kyoung Soo Bae, MD
36175 Harper Ave,
Clinton Township, MI 48035-3274

Ph: (586) 741-3772

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› Verified 6 days ago


Radiology Doctors in Clinton Township, MI

Dr. Onowenerhi Benedictta Omene, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-464-0731    Fax: 586-464-1954
Michael P. Trpkovski, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-464-0740    
Cadie Lee Cunningham,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 38654 Bay Ln, Clinton Township, MI 48038
Phone: 586-854-2533    
Rojanandham Samudrala, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604
Mrs. Cynthia Marie Wheeler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604
Anthony P Munaco, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604

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