Shibata, David

Shibata, David is an individual health care provider with primary practice located at 1211 Union Ave Suite 300, Memphis TN 38104-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Shibata, David can be contacted via phone (901) 609-3520.

Contact Information

Primary practice address
1211 Union Ave Suite 300 Memphis TN 38104-6638
Phone: (901) 609-3520
Fax: (901) 266-6415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME91419 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 53326 Tennessee

Profile Details

NPI number 1700892387
LBN Legal business name Shibata, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 22nd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700892387 NPPES
Tennessee MEDICAID Q014867

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