Sheevam Shah (NPI# 1255787529, PAC ID# 2860773975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1255787529 |
| PAC ID by PECOS | 2860773975 |
| Professional Enrollment ID | I20190910002860 |
| Full Name | Sheevam Shah |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Address |
2405 S Clear Creek Rd Epiphany Dermatology of Killeen Killeen TX 76549-5775 |
| Phone Number | 2544328330 |
| Gender | M |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3971827791 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2405 S Clear Creek Rd, Epiphany Dermatology of Killeen, Killeen, TX 76549-5775 | 2544328330 | EPIPHANY DERMATOLOGY PA |
| 7106 New Sanger Rd, Waco, TX 76712-3928 | 2545371265 | EPIPHANY DERMATOLOGY PA |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liesl Shockley Grenier | Dermatology | Epiphany Dermatology Pa | 1323 E Franklin St, Suite 103, Hillsboro, TX 76645-2679 |
| Huayi Zhang | Dermatology | Epiphany Dermatology Pa | 9191 Kyser Way Bldg, 3 Suite B, Frisco, TX 75033-1902 |
| Cheryl Noelani Sundlov | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Victoria A Meraz | Physician Assistant | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Wesley Bull | Physician Assistant | Epiphany Dermatology Pa | 195 River N Boulevard, Stephenville, TX 76401-1804 |
| Andrea L Mclin | Physician Assistant | Epiphany Dermatology Pa | 204 Wj Boaz Rd, Suite 200, Saginaw, TX 76179-4396 |
| Regan L Hurt | Physician Assistant | Epiphany Dermatology Pa | 911 Lamar Ave, Paris, TX 75460-4681 |
| Adrian Matthew Guevara | Dermatology | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Nancy M Chung | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Lucy Li | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Street Address |
2405 S CLEAR CREEK RD EPIPHANY DERMATOLOGY OF KILLEEN |
| City | KILLEEN |
| State | TX |
| Zip | 76549-5775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyn D Hatter | Dermatology | Epiphany Dermatology Pa | 2405 S Clear Creek Rd, Epiphany Dermatology of Killeen, Killeen, TX 76549-5775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Y Roach | Chiropractic | 1509 W Stan Schlueter Loop, Killeen, TX 76549-3679 | |
| Kenyatta M Jones | Psychiatry | Metroplex Clinic Physicians, Inc | 2201 S Clear Creek Rd, Advnthlth Cntl Tx, Killeen, TX 76549-4110 |
| Precha Suvunrungsi | Internal Medicine | 2109 S Clear Creek Rd, Killeen, TX 76549-4110 | |
| Terry J Beal | Orthopedic Surgery | 2117 S Clear Creek Rd, Killeen, TX 76549-4110 | |
| David F Cummings | Family Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Patricia Rosen | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Marcella Jean Knauf | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Thomas K Kerley | Family Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Alexander Barrero | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Jeffrey Wuhantu | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
| Find all physicians in zip 76549 | |||
| City | KILLEEN |
| Zip Code | 76549 |
| Specialty | DERMATOLOGY |
| City + Specialty | KILLEEN + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.