Individual provider · Type 1 NPI
Shiney Valiyaparambil, PA-C
Medical Physician Assistant · Dallas, TX
NPI number
1104143700
Active
Practice location
Utsouthwestern, 5323 Harry Hines Blvd
Dallas, TX 75390-9073
Mailing address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 005888 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | PA09144 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1104143700
Shiney Valiyaparambil, PA-C's National Provider Identifier is 1104143700, issued on Apr 23, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Apr 2, 2015.