Individual
MI-HYUN MIA SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D./M.P.H.
Contact information
Practice address
925 SENECA ST, MS:H8-25, SEATTLE, WA 98101-2742
(206) 341-0860
(206) 583-2307
Mailing address
925 SENECA ST, MS:H8-25, SEATTLE, WA 98101-2742
(206) 341-0860
(206) 583-2307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60584566
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113879
SID # 113879
CA
Enumeration date
02/28/2012
Last updated
11/18/2015
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