Provider Demographics
NPI:1720305352
Name:SHIN, THUZAR MYO (MD)
Entity type:Individual
Prefix:DR
First Name:THUZAR
Middle Name:MYO
Last Name:SHIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6600 BRUCEVILLE RD STE 225
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4671
Mailing Address - Country:US
Mailing Address - Phone:916-688-6608
Mailing Address - Fax:
Practice Address - Street 1:6600 BRUCEVILLE RD STE 225
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4671
Practice Address - Country:US
Practice Address - Phone:916-688-6608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA113628207ND0101X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery