Individual ProviderThomas KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W. 13 Mile Road, Royal Oak, MI 48073(248) 898-7999PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1356556054Provider TypeIndividualFull NameKim, ThomasTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/14/2007Last Updated4/16/2010Contact InformationPractice LocationPractice Address3601 W. 13 Mile Road, Royal Oak, MI 48073Phone(248) 898-7999FaxUnlisted FaxMailing LocationMailing Address3601 W. 13 Mile Road, Royal Oak, MI 48073Phone(248) 898-7999FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301083990MichiganCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4301083990Michigan