Individual
DR. HEBBALMATH M THIPPESWAMY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CORACI BLVD, SUITE # 9, SHIRLEY, NY 11967-4833
(631) 281-4861
(631) 281-8546
Mailing address
2 CORACI BLVD, SUITE # 9, SHIRLEY, NY 11967-4833
(631) 281-4861
(631) 281-8546
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
125473
NY
Other
Enumeration date
05/10/2006
Last updated
07/09/2007
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