Provider / Organization | NPI | Date Certified |
---|---|---|
ANDREW MINSOO SHON | 1487938254 | 2024-04-07 |
Andrew Minsoo Shon [M] graduated in 2011 from Illinois Medical College and primarily specializes in Diagnostic Radiology.
Andrew Minsoo Shon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487938254. Registration indicates Andrew Minsoo Shon is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Body Imaging, ) (Radiology Body Imaging, Allopathic & Osteopathic Physicians) (Radiology, )
PECOS ID | 5597074880 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Andrew Minsoo Shon M.D. |
Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
Practice Office Telephone | 6507234000 |
Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
Business Telephone | 6507234000 |
Code | Practice | License No State |
---|---|---|
207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 125059518
IL |
2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | A141086
CA |
2085B0100X PRIMARY | Allopathic & Osteopathic Physicians Radiology Radiology: Body Imaging Radiology Body Imaging Allopathic & Osteopathic Physicians Radiology | A141086
CA |