National Provider Identifier
Raphael T Tshibangu, MD
Raphael T Tshibangu, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 256-3000.
Profile Overview
- NPI
- 1518935378
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- March 09, 2006
- Last Updated
- July 08, 2007
Practice Location
- 990 South Avenue
- Suite 104
- Rochester, NY 14620
Phone: (585) 256-3000
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1518935378
- Entity Type
- Individual
- Last Name
- Tshibangu
- First Name
- Raphael
- Middle Name
- T
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 990 South Avenue
- Mailing Address Line 2
- Suite 104
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 256-3000
- Mailing Fax
- (585) 256-3045
- Practice Street Address
- 990 South Avenue
- Practice Address Line 2
- Suite 104
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 256-3000
- Practice Fax
- (585) 256-3045
- Enumeration Date
- March 09, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 2918 (NY, Blue Shield), 100876CK (NY, Preferred Care), 10511426 (Caqh), 00927591 (NY), 4345433 (Aetna)