Kinatukara, Shibu

Kinatukara, Shibu is an sole proprietor health care provider with primary practice located at 1640 Ocean Ave Suite 1B, Brooklyn NY 11230-4963. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kinatukara, Shibu can be contacted via phone (718) 258-4100.

Contact Information

Primary practice address
1640 Ocean Ave Suite 1B Brooklyn NY 11230-4963
Phone: (718) 258-4100
Fax: (718) 251-1856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X NOO5595 New York

Profile Details

NPI number 1386602027
LBN Legal business name Kinatukara, Shibu
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jun 14th, 2024 - about 2 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 1386602027 NPPES
New York Other 2287975 UNITED HEALTHCARE
New York Other 6299162 UNITED HEALTHCARE
New York Other 4695 UNITED HEALTHCARE
New York MEDICAID 2205136 UNITED HEALTHCARE
New York MEDICAID 0051331 UNITED HEALTHCARE
New York Other P2743644 UNITED HEALTHCARE

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