Oommen, Shibu

Oommen, Shibu is an individual health care provider with primary practice located at 4708 Alliance Blvd Suite 300, Baylor Medical Plaza 1, Plano TX 75093-5340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Oommen, Shibu can be contacted via phone (972) 758-6000.

Contact Information

Primary practice address
4708 Alliance Blvd Suite 300, Baylor Medical Plaza 1 Plano TX 75093-5340
Phone: (972) 758-6000
Fax: (972) 758-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M7492 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 226586 New York

Profile Details

NPI number 1093751695
LBN Legal business name Oommen, Shibu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 24th, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093751695 NPPES
Texas MEDICAID 189217602
Texas MEDICAID 189217601
Texas Other 8AG041

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