Shan, Kesavan
Shan, Kesavan is an individual health care provider with primary practice located at 16651 Southwest Freeway Mob1 Suite 450, Sugar Land TX 77479. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shan, Kesavan can be contacted via phone (281) 275-0330.Contact Information
Primary practice address
16651 Southwest Freeway Mob1 Suite 450
Sugar Land TX 77479
Phone: (281) 275-0330
Fax: (281) 275-0331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K1925 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | K1925 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | K1925 | Texas |
Profile Details
| NPI number | 1619080843 |
|---|---|
| LBN Legal business name | Shan, Kesavan |
| Credentials | MD, FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 14th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619080843 | NPPES |
| Texas | MEDICAID | 116637302 | |
| Texas | MEDICAID | 116637305 | |
| Texas | Other | P01030497 | |
| Texas | Other | 1619080843 | |
| Texas | Other | 060062836 | |
| Texas | MEDICAID | 116637306 | |
| Texas | MEDICAID | 116637308 | |
| Texas | Other | P00958397 |
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