DR. KYUNG-WOONG MOON MD NPI 1831106301

NPI Information

  • NPI: 1831106301
  • Provider Name: DR. KYUNG-WOONG MOON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1096 S BELSAY RD
    SUITE J
    BURTON, MI
    ZIP 48509
  • Phone: (810) 715-0803

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NPI Details

DR. Kyung-woong Moon, MD is a diagnostic radiology radiology in Burton, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kyung-woong Moon, MD NPI is 1831106301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1096 S BELSAY RD
SUITE J
BURTON, MI
ZIP 48509-948
Phone: (810) 715-0803
Fax: (810) 715-0824

The enumeration date for this NPI number is 8/1/2006 and was last updated on 9/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology4301034878MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14765404MEDICAIDMICHIGAN
2D72683MEDICARE UPINMICHIGAN
33008204811OTHERMICHIGANBCBSM INDIVIDUAL PIN
4M23560159MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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