Individual
DR. THEODORE P LABUS
Active
Individual
DR. THEODORE P LABUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01045335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082137
ANTHEM-351158723
IN
01
—
000000492354
ANTHEM 203778927
IN
01
—
005516
SIHO-351158723
IN
01
—
061437
HEALTH ALLIANCE-351158723
IN
05
—
200224550
—
IN
01
—
300109908
RR MEDCIARE-351158723
IN
01
—
300109913
RR MEDICARE-352047427
IN
01
—
Q0071506
CMOSHO351158723&352047427
IN
Enumeration date
11/09/2005
Last updated
10/03/2016
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