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NPI Code Detail

MEDICARE: DR. JANELLE YOUNG SHIN M.D.

MEDICARE:  DR. JANELLE YOUNG SHIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10101273117VA
2208M00000XHospitalist PhysicianME 98229FL

General Provider Information

NPI Number : 1073729653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANELLE YOUNG SHIN M.D.
Provider Business Mailing Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Provider Business Practice Location Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 11/15/2024

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Directions to “ DR. JANELLE YOUNG SHIN M.D.” Practice Location

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