Male or Other

Dr. Jibin S. Mathew MBBS

Critical Care Medicine (Anesthesiology) Physician in Shreveport, LA(View on Map)

Full Name

Dr. Jibin Sam Mathew MBBS

NPI Number

1306214317

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/08/2015

Specialties

(Taxonomies)

Code

207LC0200X
207L00000X

Primary Taxonomy

Yes
No

Licenses

State

Louisiana

License Number

324800

Contact
Information

Purpose

Mailing
Location

Address

1512 W KIRBY PL
1541 KINGS HWY

City

Shreveport
Shreveport

State

LA
LA

Postal Code

71103-3822
71103-4228

Country

US
US

Telephone Number

(318) 626-0287
(318) 626-0000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/21/2021

Provider Address

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Male or Other

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