Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jin Tae Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1689791493

Jin Tae Kim, MD is a Diagnostic Radiology Physician in Richmond, Virginia. Licensed in California, Texas and Virginia. Registered with an NPI since 2007.

Licensed in
CA, TX, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 E Marshall St Radiology
Richmond, VA 23298-5051
Phone: (804) 628-3580
Fax: (804) 628-3593
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Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101245471 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A73178 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M5291 (TX)

Record details

NPI number1689791493
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2007
Last updated in NPPESJuly 22, 2011
Mailing address8599 Haven Ave., Suite 300, Rancho Cucamonga, CA 91730-4849

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