Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | A60681 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | MD-16335 | HI |
NPI | 1407923238 |
---|---|
Provider Name | Melanie L. Shim |
First Address | Honolulu, HI 96819-4430 |
Second Address | Honolulu, HI 96819-4430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 03/12/2021 |