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NPI Code Detail

MEDICARE: DR. KELVIN S SHAW MD

MEDICARE:  DR. KELVIN S SHAW  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianL6179TX

General Provider Information

NPI Number : 1548259922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELVIN S SHAW MD
Provider Business Mailing Address
First Line : 1850 W LAKE HOUSTON PKWY
Second Line : SUITE 100
City : KINGWOOD
State : TX
Zip : 77339-5237
Country : US
Telephone Number : 281-540-7764
Fax Number : 281-359-3340
Provider Business Practice Location Address
First Line : 1850 W LAKE HOUSTON PKWY
Second Line : SUITE 100
City : KINGWOOD
State : TX
Zip : 77339-5237
Country : US
Telephone Number : 281-540-7764
Fax Number : 281-359-3340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 08/26/2015

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Directions to “ DR. KELVIN S SHAW MD” Practice Location

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