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Individual

DR. SHEEBA VARUGHESE TANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1901 GRANDVIEW AVE, EL PASO, TX 79902-5113
(915) 544-6750
(915) 532-4259
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0819

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7744356773
TX
207RX0202X
Medical Oncology Physician
Primary
R1461
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01932462
RAILROAD
TX
Enumeration date
05/11/2010
Last updated
03/17/2018
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