Individual
SHIN J OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
6706
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000453
BLUE CROSS
AL
05
—
000004753
—
AL
01
—
00124902
MISSISSIPPI MEDICAID
MS
05
—
009937362
—
AL
01
—
051534745
BLUE CROSS
AL
01
—
1725
HEALTHSPRING OF ALABAMA
AL
01
—
C74493
VIVA
AL
Enumeration date
07/10/2006
Last updated
11/25/2009
Update your record
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