Individual
MR. SHASHI BELLUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 RIVER POINTE DR, SUITE 101, CONROE, TX 77304
(936) 756-8484
(936) 756-8465
Mailing address
600 RIVER POINTE DR, STE 101, CONROE, TX 77304
(936) 756-8484
(936) 756-8465
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
J2739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060038298
RAILROAD MEDICARE
TX
05
—
100327903
—
TX
01
—
8A5919
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
06/23/2006
Last updated
12/09/2019
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