Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | D0081229 | MD |
Y | 2080P0205X | Pediatric Endocrinologist | MD044022 | DC |
NPI | 1063662633 |
---|---|
Provider Name | Kim Jain Shimy |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 07/11/2016 |