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NPI Code Detail

MEDICARE: SHIRENE PHILIPOSE MD

MEDICARE:   SHIRENE  PHILIPOSE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician9410687KS

General Provider Information

NPI Number : 1316524895
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRENE PHILIPOSE MD
Provider Business Mailing Address
First Line : 325 MAINE ST
Second Line : MSO LIBRARY
City : LAWRENCE
State : KS
Zip : 66044-1360
Country : US
Telephone Number : 785-505-2988
Fax Number : 785-505-5228
Provider Business Practice Location Address
First Line : 4525 W 6TH ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-7700
Country : US
Telephone Number : 785-505-5160
Fax Number : 785-505-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 03/03/2026

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Directions to “ SHIRENE PHILIPOSE MD” Practice Location

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