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:
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Health care specialties

SpecialtyCodeLicense #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 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 1508029208 NPPES
Kansas MEDICAID 200964510C
Kansas MEDICAID 200964510A
Kansas MEDICAID 200484440A

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