CHUL K. KWAK MD – NPI #1669460598
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CHUL KWAK is a radiologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1669460598 to CHUL KWAK on October 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Feb 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHUL KWAK below.

NPI Profile for
CHUL K. KWAK

NPI Number
1669460598
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHUL K. KWAK
Credentials
MD
Primary location
3401 N BROAD ST
1ST FL PARK AVENUE PAVILLON
PHILADELPHIA, PA 19140
Phone: (215) 707-7237 Fax: (215) 707-9389
Mailing address
PO BOX 827783
PHILADELPHIA, PA 19182-7783
Phone: (215) 707-7237 Fax: (215) 707-9389
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHUL KWAK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0017322120007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
PA MD032188L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.