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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093751695 | NPPES |
| Texas | MEDICAID | 189217602 | |
| Texas | MEDICAID | 189217601 | |
| Texas | Other | 8AG041 |
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