DR. SHRISHIV TIMBALIA MD NPI 1629694575

NPI Information

  • NPI: 1629694575
  • Provider Name: DR. SHRISHIV TIMBALIA, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1211 UNION AVE STE 300
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 272-6018

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NPI Details

DR. Shrishiv Timbalia, MD is a vascular surgery surgery in Memphis, TN with 6 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Shrishiv Timbalia, MD NPI is 1629694575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1211 UNION AVE STE 300
MEMPHIS, TN
ZIP 38104-655
Phone: (901) 272-6018
Fax: (901) 201-4203

The NPI 1629694575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery75027TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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