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Contact Information

MICHAEL N CLEMENSHAW, MD
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX78234-4504
 Phone: 210-916-4188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL N CLEMENSHAW · (Male)

NPI Number 1053531368
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2007
Last updated 10/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P2216
  • GA Medicaid 003226229A
  • GA Other 83825 GEORGIA MEDICAL LICENSE
Hospital affiliation(s)
  • MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS - (Acute Care)
    1120 15TH STREET
    AUGUSTA, GA 30912
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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