National Provider Identifier

Tai Ho Shin, MD

Tai Ho Shin, MD is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician in Lewiston, NY and a listed phone number of (716) 298-8440.

NPI 1932546082Lewiston, NYEndocrinology, Diabetes & Metabolism Physician

Profile Overview

NPI
1932546082
Provider Type
Individual
Primary Specialty
Endocrinology, Diabetes & Metabolism Physician
Enumeration Date
May 30, 2013
Last Updated
June 28, 2022

Practice Location

  • 5290 Military RD Ste 8
  • Lewiston, NY 14092-1953

Phone: (716) 298-8440

Specialties

  • Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
  • Hospitalist Physician (208M00000X)
  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1932546082
Entity Type
Individual
Last Name
Shin
First Name
Tai Ho
Credential
MD
Mailing Street Address
5290 Military RD Ste 8
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092-1953
Mailing Country
US
Mailing Phone
(716) 298-8440
Mailing Fax
(716) 961-1271
Practice Street Address
5290 Military RD Ste 8
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1953
Practice Country
US
Practice Phone
(716) 298-8440
Practice Fax
(716) 961-1271
Enumeration Date
May 30, 2013
Last Updated
June 28, 2022
Sex
Male
Sole Proprietor
No
Certification Date
June 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endocrinology, Diabetes & Metabolism Physician (207RE0101X), Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)