| Doctor Name: | ROBERT B SHIN |
| NPI Number: | 1003800087 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01030149 |
| Business Practice Address: | 3611 S Reed Rd Suite 107 Kokomo, IN - 469023828 |
| Business Phone Number: | 7654538644 |
| Business Fax Number: | 7654538667 |
| Mailing Address: | 3611 S Reed Rd, Suite 107 KOKOMO |
| State: | IN |
| Postal Code: | 469023828 |
| Phone Number: | 7654538644 |
| Fax Number: | 7654538667 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 01030149 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |