Individual
SOO YOUNG SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19441 GOLF VISTA PLAZA, SUITE 320, LANSDOWNE, VA 20176
(703) 858-9800
Mailing address
19441 GOLF VISTA PLAZA, SUITE 320, LANSDOWNE, VA 20176
(703) 858-9800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101226980
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006303633
—
VA
Enumeration date
03/31/2006
Last updated
06/15/2012
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