Kinatukara, Shibu
Kinatukara, Shibu is an sole proprietor health care provider with primary practice located at 1640 Ocean Ave Suite 1B, Brooklyn NY 11230-4963. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kinatukara, Shibu can be contacted via phone (718) 258-4100.Contact Information
Primary practice address
1640 Ocean Ave Suite 1B
Brooklyn NY 11230-4963
Phone: (718) 258-4100
Fax: (718) 251-1856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | NOO5595 | New York |
Profile Details
NPI number | 1386602027 |
---|---|
LBN Legal business name | Kinatukara, Shibu |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2006 |
Last updated | Jun 14th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386602027 | NPPES |
New York | Other | 2287975 | UNITED HEALTHCARE |
New York | Other | 6299162 | UNITED HEALTHCARE |
New York | Other | 4695 | UNITED HEALTHCARE |
New York | MEDICAID | 2205136 | UNITED HEALTHCARE |
New York | MEDICAID | 0051331 | UNITED HEALTHCARE |
New York | Other | P2743644 | UNITED HEALTHCARE |
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