Individual ProviderShwan KimRadiologyAllopathic & Osteopathic PhysiciansPractice Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915(952) 595-1301PECOS EnrollmentBased on the most recent information from CMS, provider Shwan 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 2 days ago.Profile DetailsProvider ID1417901877Provider TypeIndividualFull NameKim, ShwanTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/20/2006Last Updated1/28/2025Contact InformationPractice LocationPractice Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915Phone(952) 595-1301Fax(612) 294-4903Mailing LocationMailing Address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915Phone(952) 595-1301Fax(612) 294-4903Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseA77747California