Individual
MYUNG HYO SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 E ALLEGHENY AVE, SUITE 180, PHILA, PA 19134-4427
(215) 969-3700
(215) 939-3703
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD032923L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000751133
—
PA
01
—
0052973000
INDEPENDENCE BLUE CROSS
PA
01
—
0075113301
AMERICHOICE
PA
01
—
040414
KEYSTONE MERCY HEALTH
PA
01
—
160032948
RAILROAD MEDICARE
PA
01
—
176437
HIGHMARK BLUE SHIELD
PA
01
—
2Y3371
HEALTH NET
PA
01
—
3088
BRAVOH EALTH
PA
01
—
3303054
AETNA HMO
PA
01
—
4101949
AETNA PPO
PA
01
—
519057
COVENTRY HEALTH AMERICA
PA
01
—
P425936
OXFORD
PA
Enumeration date
12/06/2005
Last updated
07/19/2011
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