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NPI Code Detail

MEDICARE: PAUL SHIN

MEDICARE: PAUL 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1184562464
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL SHIN
Provider Business Mailing Address
First Line : 300 N CANAL ST APT 3003
Second Line :
City : CHICAGO
State : IL
Zip : 60606-1308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-4489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 06/15/2026

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Directions to “ PAUL SHIN ” Practice Location

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