# BABIANO M. S. KIM, M. D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** N/A
- **Other names:** N/A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982894424
- **Legal business name:** N/A
- **Authorized official:** DR. BABIANO M.S. KIM MD (DR.)
- **Authorized official phone:** (313) 295-1842

## Contact information

- **Practice address:** 21210 GODDARD RD, TAYLOR, MI 48180-4264
- **Practice address phone:** (313) 295-1842
- **Practice address fax:** (313) 295-1932
- **Mailing address:** 21210 GODDARD RD, TAYLOR, MI 48180-4264
- **Mailing address phone:** (313) 295-1842
- **Mailing address fax:** (313) 295-1932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301044759 | MI | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1565670 | — | MI |