Individual
ANTHONY HUNKYUN SIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
42041
TN
207T00000X
Neurological Surgery Physician
Primary
MD.14773R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057100
—
LA
01
—
4K720F600
MEDICARE - PTAN
LA
Enumeration date
04/17/2007
Last updated
07/02/2014
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