| Uni Clinic | |
|
4300 Talbot Rd S. Ste 314 Renton WA 98055-6238 | |
| (425) 228-7446 | |
| (425) 277-4746 |
| Full Name | Uni Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4300 Talbot Rd S. Ste 314, Renton, Washington |
| Authorized Official Name and Position | Chang Bum Shin (PRESIDENT) |
| Authorized Official Contact | 4252287446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uni Clinic 4300 Talbot Rd S. Ste 314, Uni Clinic Renton WA 98055-6238 Ph: (425) 228-7446 | Uni Clinic 4300 Talbot Rd S. Ste 314 Renton WA 98055-6238 Ph: (425) 228-7446 |
| NPI Number | 1477204295 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Medicare PECOS PAC ID | 0941695688 |
|---|---|
| Medicare Enrollment ID | O20220316002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477204295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Chang B Shin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730207143 PECOS PAC ID: 5092073015 Enrollment ID: I20220318000587 |
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