Individual
DR. SHIBU DASAPPAN SKARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
343 ELM ST, SUITE 402, RENO, NV 89503-4522
(775) 770-7640
(775) 770-7650
Mailing address
343 ELM ST, SUITE 402, RENO, NV 89503-4522
(775) 770-7640
(775) 770-7650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13483
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
13483
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2022-02521
NC
207RP1001X
Pulmonary Disease Physician
Primary
13483
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821170093
—
NV
Enumeration date
10/19/2006
Last updated
05/04/2023
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