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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHIBU PHILIP, MD

Active

SHIBU PHILIP, MD is a Cardiovascular Disease healthcare provider located in FAYETTEVILLE, Georgia. NPI 1356430607 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · FAYETTEVILLE, GA

Registration Details

NPI Number
1356430607
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.819966977301 yrs)
Last Updated
May 16, 2024
Licenses
0101279895 (VA)
2012-02030 (NC)
98806 (GA)

Practice Information

Address
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA, 302142110
Browse GA providers · Browse ZIP 30214
Phone
7707160051
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in FAYETTEVILLE, GA

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.