Tibayan, Resty T
Tibayan, Resty T is an individual health care provider with primary practice located at 2460 W Horizon Ridge Pkwy , Henderson NV 89052-2648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tibayan, Resty T can be contacted via phone (702) 822-2000.Contact Information
Primary practice address
2460 W Horizon Ridge Pkwy
Henderson NV 89052-2648
Phone: (702) 822-2000
Fax: (702) 938-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 04-35742 | Kansas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 17659 | Nevada |
Profile Details
| NPI number | 1508029208 |
|---|---|
| LBN Legal business name | Tibayan, Resty T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Mar 21st, 2024 - about last year |
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 | 1508029208 | NPPES |
| Kansas | MEDICAID | 200964510C | |
| Kansas | MEDICAID | 200964510A | |
| Kansas | MEDICAID | 200484440A |
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