Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIBIN SAM MATHEW, MBBS
ActiveDR. JIBIN SAM MATHEW, MBBS is a Critical Care Medicine (Anesthesiology) healthcare provider located in SHREVEPORT, Louisiana. NPI 1306214317 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine (Anesthesiology) · SHREVEPORT, LA
Registration Details
- NPI Number
- 1306214317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2015 (10.903034617638 yrs)
- Last Updated
- Dec 21, 2021
- Licenses
-
324800 (LA)324800 (LA)
Practice Information
- Address
-
1541 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186260000
- Primary Specialty
-
Critical Care Medicine (Anesthesiology)
207LC0200X
- Additional Specialty
- Critical Care Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.