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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 Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for KESAVAN SHAN · (Male)

NPI Number 1619080843
Status Active
Credentials MD, FACC
Entity Individual
Enumeration date 08/15/2006
Last updated 07/14/2014 - About 12 years ago
Sole proprietor 1 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(s)
  • METHODIST HOSPITALTHE - (Acute Care)
    6565 FANNIN
    HOUSTON, TX 77030
  • METHODIST SUGAR LAND HOSPITAL - (Acute Care)
    16655 SOUTHWEST FREEWAY
    SUGAR LAND, TX 77479
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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