Individual
DR. SHAILY PATEL KESANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4471 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75028-1795
(972) 316-4555
(972) 316-4550
Mailing address
4471 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75028-1795
(972) 316-4555
(972) 316-4550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.127261
IL
207N00000X
Dermatology Physician
Primary
Q3213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213247008
MEDICARE PTAN
IL
Enumeration date
05/01/2008
Last updated
09/16/2015
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