Individual
SIBAJI SHOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST STE A-240, A-240, CHATTANOOGA, TN 37403-2136
(423) 778-5199
(423) 778-2112
Mailing address
206 MATHES LN, SIGNAL MOUNTAIN, TN 37377-2266
(423) 629-5098
(423) 629-6078
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0024694
TN
207RP1001X
Pulmonary Disease Physician
Primary
0000024694
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000024694
MD
TN
Enumeration date
07/26/2006
Last updated
07/24/2007
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