Individual
CHAN HO SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 N 3RD ST, PHOENIX, AZ 85004-1401
(602) 258-9955
Mailing address
2200 N 3RD ST, PHOENIX, AZ 85004-1401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76362
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
05/15/2026
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