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NPI Code Detail

MEDICARE: DR. JOHN J.Y. SHIH M.D.

MEDICARE: DR. JOHN J.Y. SHIH 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
1170100000XPh.D. Medical GeneticsHI

General Provider Information

NPI Number : 1902847403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J.Y. SHIH M.D.
Provider Business Mailing Address
First Line : 46-001 KAM HWY
Second Line : 220
City : KANEOHE
State : HI
Zip : 96744
Country : UM
Telephone Number : 808-247-8508
Fax Number : 808-247-0325
Provider Business Practice Location Address
First Line : 46-001 KAM HWY
Second Line : 220
City : KANEOHE
State : HI
Zip : 96744-3711
Country : US
Telephone Number : 808-247-8508
Fax Number : 808-247-8508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/21/2022

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