Thomas, Shibu
Thomas, Shibu is an sole proprietor health care provider with primary practice located at 221 W Colorado Blvd Pavilion 2 Suite 929, Dallas TX 75208-2363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Thomas, Shibu can be contacted via phone (214) 960-5681.Contact Information
Primary practice address
221 W Colorado Blvd Pavilion 2 Suite 929
Dallas TX 75208-2363
Phone: (214) 960-5681
Fax: (214) 947-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | M2840 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M2840 | Texas |
Profile Details
| NPI number | 1366402265 |
|---|---|
| LBN Legal business name | Thomas, Shibu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 20th, 2016 - about 8 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 | 1366402265 | NPPES |
| Texas | MEDICAID | 168977003 | |
| Texas | MEDICAID | 168977001 | |
| Texas | MEDICAID | 168977004 |
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