Samuel, Jibin Valiyaveettil
Samuel, Jibin Valiyaveettil is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Samuel, Jibin Valiyaveettil can be contacted via phone (727) 767-8480.Contact Information
Primary practice address
501 6Th Ave S
St Petersburg FL 33701-4634
Phone: (727) 767-8480
Fax: (727) 767-8420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME104317 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME104317 | Florida |
Profile Details
NPI number | 1841432291 |
---|---|
LBN Legal business name | Samuel, Jibin Valiyaveettil |
Credentials | MBBS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2009 |
Last updated | Jan 18th, 2017 - about 7 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 | 1841432291 | NPPES |
Florida | MEDICAID | 002338900 |
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