National Provider Identifier Database

KESAVAN SHAN, MD, FACC – NPI #1619080843
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

KESAVAN SHAN, MD, FACC
16651 SOUTHWEST FREEWAY MOB1
SUITE 450
SUGAR LAND, TX77479
Phone: 281-275-0330
Fax: 281-275-0331
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Interventional Cardiology 207RI0011X
Nuclear Cardiology 207UN0901X

* Indicates primary specialty

NPI Profile & details for KESAVAN SHAN

NPI Number 1619080843
Credentials MD, FACC
Entity Individual
Enumeration date 08/15/2006
Last updated 07/14/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • TX License #: K1925
  • TX Medicaid: 116637302
  • TX Medicaid: 116637305
  • TX Medicaid: 116637306
  • TX Medicaid: 116637308
  • TX Other: 1619080843 BLUE CROSS BLUE SHIELD
  • TX Other: P00958397 MEDICARE RR
  • TX Other: 060062836 RAILROAD MEDICARE
  • TX Other: P01030497 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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