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Organization

MICHAEL SHIN MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SHIN MD (OWNER)
(718) 473-2913
Entity
Organization

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 523-9363
Mailing address
520 LUNALILO HOME ROAD, UNIT 2406, HONOLULU, HI 96825
(718) 473-2913

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MD15588
HI

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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