Michael Shin MD LLC
Health Maintenance Organization in Honolulu, HI. Organization (NPI-2).
NPI number1083985055
StatusActive
Last updated in NPPESJan 23, 2012
Details
- NPI
- 1083985055
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael Shin MD LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2012
- Last updated
- Jan 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | MD15588 | HI | Yes |
Practice location
1301 Punchbowl StHonolulu, HI 96813-2402
Phone 808-523-9363
Mailing address
520 Lunalilo Home RoadUnit 2406
Honolulu, HI 96825
Phone 718-473-2913
Authorized official
Michael Shin
Owner
7184732913
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