Individual provider Active NPI

Sheeba Varughese Tano, DO

  • Medical Oncology Physician
  • El Paso, TX
National Provider Identifier
1790003077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
R1461 Issued in TX
Practice address
1901 Grandview Ave
El Paso, TX 79902-5113
Phone
(915) 544-6750
Fax
(915) 532-4259
NPI assigned
May 11, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7744356773 TX
Medical Oncology Physician 207RX0202X R1461 TX Primary

Addresses

Primary practice location

1901 Grandview Ave
El Paso, TX 79902-5113

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 813-1057

Other practice location 2

7848 Gateway East
El Paso, TX 79915
Phone (915) 599-1313

Other practice location 3

3270 Joe Battle Blvd
El Paso, TX 79938-2639
Phone (915) 849-2700

Other identifiers 1

IdentifierTypeStateIssuer
P01932462OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7744356773TXMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790003077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GRANDVIEW AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025113",
            "telephone_number": "915-544-6750",
            "fax_number": "915-532-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7848 Gateway East",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79915",
            "country_code": "US",
            "telephone_number": "915-599-1313",
            "fax_number": "915-599-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3270 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382639",
            "country_code": "US",
            "telephone_number": "915-849-2700",
            "fax_number": "915-849-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANO",
        "first_name": "SHEEBA",
        "middle_name": "VARUGHESE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "7744356773",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "R1461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01932462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.