MEDICARE: IOANNIS MIHAIL SKARIBAS 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
1	207L00000X	Anesthesiology Physician	K7615	TX
2	208VP0014X	Interventional Pain Medicine Physician	K7615	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00000723	OTHER	TX	RAILROAD- MEDICARE
2	P00692604	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8BM991	OTHER	TX	BLUE CROSS BLUE SHIELD ID
6	8H9231	OTHER		TX-BLUE SHIELD

General Provider Information

NPI Number	:	1922150945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IOANNIS MIHAIL SKARIBAS MD

Provider Business Mailing Address
First Line	:	11451 KATY FWY STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2009
Country	:	US
Telephone Number	:	832-862-7246
Fax Number	:	832-862-6777

Provider Business Practice Location Address
First Line	:	11451 KATY FWY STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2009
Country	:	US
Telephone Number	:	832-862-7246
Fax Number	:	832-862-6777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	10/02/2019

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Directions to “ IOANNIS MIHAIL SKARIBAS MD” Practice Location

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