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ROBERT B SHIN MD

Allergy

Kokomo, Indiana

Provider NPI: 1003800087

Provider Information:
 ROBERT B SHIN MD


Practice Location:
3611 S REED RD SUITE 107 KOKOMO, IN 46902 US
Tel: 765-453-8644  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IN01030149

Other Provider Identifiers:

IssuerNumberStateType
TRICARE351639719001IN01
ANTHEM000000086068IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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