DR. CLIVE I SHKEDY (NPI# 1972595437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972595437 |
| Entity Type | Individual |
| Full Name | DR. CLIVE I SHKEDY |
| Credential | MD |
| Practice Address |
16675 Southwest Fwy Suite 105 Sugar Land TX 77479-2344 |
| Practice Telephone | 2812747800 |
| Mailing Telephone | 2812747800 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
J7191 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 038116201 | 05 | |
| TX | 038116202 | 05 | |
| TX | 038116203 | 05 | |
| TX | 038116204 | 05 | |
| TX | BLUE CROSS | 80R279 | 01 |
| TX | MEDICARE RAILROAD | P00816423 | 01 |
| TX | 038116205 | 05 | |
| TX | BCBS | 8BN488 | 01 |
| Street Address |
16675 SOUTHWEST FWY SUITE 105 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407956691 | Charles L Conlon | Internal Medicine | 16675 Southwest Fwy, #200, Sugar Land, TX 77479-2344 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557811 | Western Radiation Oncology Associates, P.a. | Radiology | 15500 Southwest Fwy, Sugar Land, TX 77478-3829 | 2006-08-21 |
| 1104390897 | Advance Radiation Oncology Care Pllc | Radiology | 2245 Texas Dr Ste 300, Sugar Land, TX 77479-1468 | 2019-01-15 |
| 1730471871 | West Houston Internal Specialists, Pllc | Radiology | 15500 Southwest Fwy, Sugar Land, TX 77478-3829 | 2011-05-09 |
| 1902901796 | Julia L. Oh | Radiology | 15500 Southwest Fwy, Sugar Land, TX 77478-3829 | 2006-09-14 |
| 1720027154 | Vivek Sharad Kavadi | Radiology | 1350 First Colony Blvd, Sugar Land, TX 77479-4308 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.