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Individual
SIDNEY SHINKAWA
Active
Individual
SIDNEY SHINKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J2795
TX
207R00000X
Internal Medicine Physician
Primary
J2795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104141006
—
TX
01
—
164170601
MEDICAID (SITE - RHC)
TX
01
—
458843
MEDICARE (SITE - RHC)
TX
Enumeration date
11/18/2005
Last updated
08/24/2011
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