Individual
DR. SANG IK SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
248541
NY
2084P0800X
Psychiatry Physician
7308
AK
2084P0800X
Psychiatry Physician
Primary
MD60319510
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/01/2006
Last updated
02/04/2022
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