Individual
DR. SHYAM KISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5680 FRISCO SQUARE BLVD STE 2500, FRISCO, TX 75034-3315
(972) 347-4783
(972) 347-4916
Mailing address
4128 FAIR MEADOWS DR, PLANO, TX 75024-3457
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01068071A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
R1799
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
01068071A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000674113
ANTHEM PIN
IN
05
—
200994100
—
IN
05
—
375540701
—
TX
Enumeration date
01/24/2006
Last updated
01/04/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us