Individual
DAVID SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 609-3520
(901) 266-6415
Mailing address
PO BOX 1000, DEPT # 457, MEMPHIS, TN 38148-0457
(901) 609-3520
(901) 266-6415
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
53326
TN
2086X0206X
Surgical Oncology Physician
ME91419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014867
—
TN
Enumeration date
08/01/2006
Last updated
09/22/2015
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