Basic Information
| Provider Information | |||||||||
| NPI: | 1467440495 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHINN | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 651 HOLIDAY DR | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152202740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129228490 | ||||||||
| FaxNumber: | 4129211194 | ||||||||
| Practice Location | |||||||||
| Address1: | 651 HOLIDAY DR | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152202740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4129228490 | ||||||||
| FaxNumber: | 4129211194 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2005 | ||||||||
| LastUpdateDate: | 08/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | MD045494E | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207R00000X | MD045494E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.