Kim, Shine H

Kim, Shine H is an sole proprietor health care provider with primary practice located at 4210 Colden St Apt 420 , Flushing NY 11355-4848. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kim, Shine H can be contacted via phone (646) 644-0716.

Contact Information

Primary practice address
4210 Colden St Apt 420 Flushing NY 11355-4848
Phone: (646) 644-0716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 39 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 39 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 39 New York

Profile Details

NPI number 1093968737
LBN Legal business name Kim, Shine H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093968737 NPPES
New York MEDICAID 1234567810

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