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

MR. SHIBU M. MATHEW, PA-C

Active

MR. SHIBU M. MATHEW, PA-C is a Medical Physician Assistant healthcare provider located in DALLAS, Texas. NPI 1790893816 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · DALLAS, TX

Registration Details

NPI Number
1790893816
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2006 (19.955518943838 yrs)
Last Updated
Jul 8, 2007
License
PA02559 (TX)

Practice Information

Address
4500 S LANCASTER RD
CARDIOLOGY SECTION (111A)
DALLAS, TX, 752167167
Browse TX providers · Browse ZIP 75216
Phone
2148571556
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in DALLAS, TX

Name Credential NPI
JILL S WEINGER PA 1114910742
SARAH A GAGLIANO PA 1912990557
KAYLYNN C YOUNG PA 1750374203
MS. SHANNON R MAHONEY PA-C 1093700858
MS. MINDY GREENBERG PA-C, MS 1386625945
MARVIN EARL KING PA-C 1306829726
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.