National Provider Identifier

Kyu H Shin, MD

Kyu H Shin, MD is listed in the NPPES registry with a primary specialty of Therapeutic Radiology Physician in Kenmore, NY and a listed phone number of (716) 871-0181.

NPI 1881692804Kenmore, NYTherapeutic Radiology Physician

Profile Overview

NPI
1881692804
Provider Type
Individual
Primary Specialty
Therapeutic Radiology Physician
Enumeration Date
July 13, 2005
Last Updated
November 27, 2012

Practice Location

  • 2950 Elmwood Ave
  • Kenmore, NY 14217-1304

Phone: (716) 871-0181

Specialties

  • Therapeutic Radiology Physician (2085R0203X)
Full Record
NPI
1881692804
Entity Type
Individual
Last Name
Shin
First Name
Kyu
Middle Name
H
Credential
MD
Mailing Street Address
2950 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1304
Mailing Country
US
Mailing Phone
(716) 871-0181
Mailing Fax
(716) 871-0183
Practice Street Address
2950 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 871-0181
Practice Fax
(716) 871-0183
Enumeration Date
July 13, 2005
Last Updated
November 27, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Therapeutic Radiology Physician (2085R0203X)
Other Identifiers
01388141 (NY), 6000575 (NY, Ghi), P00673442 (Railroad Medicare), 00010165401 (NY, Univera), 000511168007 (NY, Blue Cross Blue Shield Wny), 3703826 (NY, Independent Health)