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Contact Information

SHIBU G THARAKAN
603 UNIONDALE AVE
UNIONDALE, NY11553-2637
 Phone: 516-481-4825
 Fax: 516-483-4185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SHIBU G THARAKAN · (Male)

NPI Number 1639322290
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2008
Last updated 05/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 42149
  • NY License # 052712
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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