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1538327150

NPI Code Detail

MEDICARE: SHAUN PHILIP KAISER MD

MEDICARE: SHAUN PHILIP KAISER 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
1	207RN0300X	Nephrology Physician	P5539	TX
2	207R00000X	Internal Medicine Physician	2022-02074	NC
3	207R00000X	Internal Medicine Physician	01066260A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538327150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUN PHILIP KAISER MD

Provider Business Mailing Address
First Line	:	9900 N CENTRAL EXPY STE 215
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0929
Country	:	US
Telephone Number	:	214-396-4950
Fax Number	:	877-423-5360

Provider Business Practice Location Address
First Line	:	9900 N CENTRAL EXPY STE 215
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0929
Country	:	US
Telephone Number	:	214-396-4950
Fax Number	:	877-423-5360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	04/28/2026

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Directions to “ SHAUN PHILIP KAISER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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