Individual
DR. CLIVE I SHKEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16675 SOUTHWEST FWY, SUITE 105, SUGAR LAND, TX 77479-2344
(281) 274-7800
Mailing address
16675 SOUTHWEST FWY, SUITE 105, SUGAR LAND, TX 77479-2344
(281) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J7191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038116201
—
TX
05
—
038116202
—
TX
05
—
038116203
—
TX
05
—
038116204
—
TX
05
—
038116205
—
TX
01
—
80R279
BLUE CROSS
TX
01
—
8BN488
BCBS
TX
01
—
P00816423
MEDICARE RAILROAD
TX
Enumeration date
08/19/2005
Last updated
06/07/2016
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