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Contact Information

KI Y SHIN, MD
1515 HOLCOMBE BLVD
HOUSTON, TX77030-4009
 Phone: 713-792-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KI Y SHIN · (Male)

NPI # 1720184260
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 07/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K6324
  • TX Medicaid 43811101
  • TX Other 83182S BCBS
  • TX Other 250009806 RR MEDICARE
Hospital affiliation(s)
  • UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER,THE - (Acute Care)
    1515 HOLCOMBE BLVD
    HOUSTON, TX 77030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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