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

NIBU JACOB MALAICKAL, REEGT, RPSGT,RNCST

Active Sole Proprietor

Electronic Diagnostic Technologist · COPPELL, TX

Registration Details

NPI Number: 1578033254
Provider Type: Individual
Gender: Male
NPI Issued: Nov 26, 2018 (7.4021839599147 yrs)
Last Updated: Nov 26, 2018
Licenses: 138

4499

878

16863
Sole Proprietor: Yes

Practice Information

Address: 304 S COPPELL RD

COPPELL, TX, 750192417
Browse TX providers · Browse ZIP 75019
Phone: 2146869393
Primary Specialty: Electronic Diagnostic Technologist
246ZE0500X
Additional Specialty: Electronic Diagnostic Technologist
Additional Specialty: Electroneurodiagnostic Technologist
Additional Specialty: Sleep Disorder Diagnostic Clinic

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.