Individual
DR. JI YOUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 WALNUT ST, SUITE 700, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, SUITE 700, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD439205
PA
207R00000X
Internal Medicine Physician
T2006014660
MO
207RN0300X
Nephrology Physician
MD439205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308111
—
NJ
05
—
102728191
—
PA
Enumeration date
10/02/2006
Last updated
07/11/2016
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