Provider Demographics
NPI:1851946107
Name:JOSEPH, SHEEBA SIMI
Entity Type:Individual
Prefix:
First Name:SHEEBA
Middle Name:SIMI
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHEEBA
Other - Middle Name:
Other - Last Name:VARGHESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4827 CALIBURN CIR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1229
Mailing Address - Country:US
Mailing Address - Phone:973-870-1784
Mailing Address - Fax:
Practice Address - Street 1:4827 CALIBURN CIR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1229
Practice Address - Country:US
Practice Address - Phone:973-870-1784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX919317163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine