Individual
DR. LEWIS KIE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E. BANNER GATEWAY DRIVE, SUITE 450, GILBERT, AZ 85234
(480) 256-3430
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A89514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A895140
—
CA
Enumeration date
01/24/2007
Last updated
12/03/2018
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