Tshibangu, Raphael T

Tshibangu, Raphael T is an individual health care provider with primary practice located at 990 South Avenue Suite 104, Rochester NY 14620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tshibangu, Raphael T can be contacted via phone (585) 256-3000.

Contact Information

Primary practice address
990 South Avenue Suite 104 Rochester NY 14620
Phone: (585) 256-3000
Fax: (585) 256-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1395531 New York

Profile Details

NPI number 1518935378
LBN Legal business name Tshibangu, Raphael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518935378 NPPES
New York Other 2918 BLUE SHIELD
New York Other 100876CK BLUE SHIELD
New York Other 10511426 BLUE SHIELD
New York MEDICAID 00927591 BLUE SHIELD
New York Other 4345433 BLUE SHIELD

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