Individual
DR. VICTOR SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 PRESTON PARK BLVD, SUITE 1200, PLANO, TX 75093-3656
(972) 696-9565
Mailing address
1820 PRESTON PARK BLVD, SUITE 1200, PLANO, TX 75093-3656
(972) 696-9565
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
M9651
TX
2085R0202X
Diagnostic Radiology Physician
226403
NY
2085R0202X
Diagnostic Radiology Physician
M9651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02825721
—
NY
01
—
914T11
MEDICARE
NY
Enumeration date
03/31/2007
Last updated
10/25/2022
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