Shome, Goutam Pada
Shome, Goutam Pada is an individual health care provider with primary practice located at 9812 Slide Rd , Lubbock TX 79424-5781. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Shome, Goutam Pada can be contacted via phone (806) 725-8420.Contact Information
Primary practice address
9812 Slide Rd
Lubbock TX 79424-5781
Phone: (806) 725-8420
Fax: (806) 783-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | L3825 | Texas |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | L3825 | Texas |
Profile Details
| NPI number | 1962491191 |
|---|---|
| LBN Legal business name | Shome, Goutam Pada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 6th, 2013 - about 11 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 | 1962491191 | NPPES |
| Texas | Other | P00671980 | RAILROAD MEDICARE |
| Texas | MEDICAID | 143911903 | RAILROAD MEDICARE |
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