Individual
DUSIK K. SHIN
Active
Individual
DUSIK K. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111566
ANTHEM BLUE CROSS
KY
01
—
1600202
UNITED HEALTHCARE
KY
05
—
64266424
—
KY
01
—
C74357
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
09/27/2006
Last updated
07/08/2007
Update your record
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