Individual
DR. SHIBAN K RAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-3062
(215) 742-9900
(215) 742-7051
Mailing address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-3062
(215) 742-9900
(215) 742-7051
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD057282L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001559565/0004
—
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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