Goutam Pada Shome in Lubbock - Allergy & Immunology

Goutam Pada Shome - NPI 1962491191

Goutam Pada Shome is a Allergy & Immunology in Lubbock, Texas. Goutam Pada Shome practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Goutam Pada Shome is 1962491191. The last update date is 2013-02-06.

Goutam Pada Shome's current location address is 9812 Slide Rd, Lubbock, Texas. You can contact this provider via phone number 8067258420 and fax number 8067839059. The mailing address for Goutam Pada Shome is 9812 Slide Rd, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Goutam Pada Shome
Address 9812 Slide Rd, Lubbock, Texas
Phone Number 8067258420
Fax Number 8067839059
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1962491191
Provider Enumeration Date 2005-10-20
Last Updated Date 2013-02-06

Provider Mailing Address Detail

Address 9812 Slide Rd
City Lubbock
State Texas (TX)
Post Code 794245781
Phone Number 8067258420
Fax Number 8067839059

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207Ra0201X
Licence No L3825
Definition:
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00671980 TX RAILROAD MEDICARE
143911903 TX --

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FAQs about Goutam Pada Shome

What is the Goutam Pada Shome's unique identification number?

The Goutam Pada Shome has been assigned the NPI (National Provider Identifier) Number 1962491191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Goutam Pada Shome's facilities are situated?

The facilities of Goutam Pada Shome are physically located at the following address: 9812 Slide Rd, Lubbock, TX, 794245781.

What is Goutam Pada Shome's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Goutam Pada Shome is Allergy & Immunology, and the taxonomy classification code that categorizes this area of expertise is 207Ra0201X.

On what date did the Goutam Pada Shome receive the assignment of its 1962491191 from the Centers for Medicare & Medicaid Services?

The Goutam Pada Shome was issued its 1962491191 by the Centers for Medicare & Medicaid Services on 2005-10-20.

As of what date was the information regarding Goutam Pada Shome, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Goutam Pada Shome, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-06.

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