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NPI Code Detail

MEDICARE: CHRISTOPHER SHIN

MEDICARE:   CHRISTOPHER  SHIN
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
12085R0202XDiagnostic Radiology PhysicianDR.0074776CO
22085R0202XDiagnostic Radiology Physician1019848MA

General Provider Information

NPI Number : 1033670898
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER SHIN
Provider Business Mailing Address
First Line : 7375 W 52ND AVE STE 210
Second Line :
City : ARVADA
State : CO
Zip : 80002-3748
Country : US
Telephone Number : 303-223-4448
Fax Number :
Provider Business Practice Location Address
First Line : 11600 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1527
Country : US
Telephone Number : 720-321-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 12/16/2025

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Directions to “ CHRISTOPHER SHIN ” Practice Location

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