Kishan, Shyam

Kishan, Shyam is an individual health care provider with primary practice located at 5680 Frisco Square Blvd Ste 2500 , Frisco TX 75034-3315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kishan, Shyam can be contacted via phone (972) 347-4783.

Contact Information

Primary practice address
5680 Frisco Square Blvd Ste 2500 Frisco TX 75034-3315
Phone: (972) 347-4783
Fax: (972) 347-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01068071A Indiana
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 01068071A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R1799 Texas

Profile Details

NPI number 1689644528
LBN Legal business name Kishan, Shyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689644528 NPPES
Indiana Other 000000674113 ANTHEM PIN
Indiana MEDICAID 200994100 ANTHEM PIN
Indiana MEDICAID 375540701 ANTHEM PIN

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