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Contact Information

NIBU J MALAICKAL, REEGT, RPSGT,RNCST
304 S COPPELL RD
COPPELL, TX75019-2417
 Phone: 214-686-9393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

EEG

246ZE0500X
 

Electroneurodiagnostic

246ZE0600X
 

Epilepsy Unit

273100000X
 

Sleep Disorder Diagnostic

261QS1200X
Indicates primary specialty

NPI Profile & details for NIBU J MALAICKAL · (Male)

NPI # 1578033254
Status Active
Credentials REEGT, RPSGT,RNCST
Entity Individual
Enumeration date 11/26/2018
Last updated 11/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 138
  • License # 16863
  • License # 4499
  • License # 878
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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