Individual
SHIRENE PHILIPOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700
(785) 505-5160
(785) 505-5282
Mailing address
325 MAINE ST, MSO LIBRARY, LAWRENCE, KS 66044-1360
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-52776
KS
207R00000X
Internal Medicine Physician
Primary
9410687
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/09/2026
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