Provider Demographics
NPI:1508039892
Name:THORACIC SURGERY
Entity Type:Organization
Organization Name:THORACIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:SHABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHIMJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:905-856-1885
Mailing Address - Street 1:25 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6344
Mailing Address - Country:US
Mailing Address - Phone:905-856-1885
Mailing Address - Fax:
Practice Address - Street 1:36 GEORGE BOGG RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:ONTARIO
Practice Address - Zip Code:L4L0A3
Practice Address - Country:CA
Practice Address - Phone:905-856-1885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5250281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital