Shed by Dr. K, PA

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

SHED BY DR. K, PA

Practice address

6020 W Parker Rd Ste 430
Plano, TX 75093-0001

Phone

(214) 734-5792

NPI assigned

Dec 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Khalil, DO

Title

Owner

Phone

(214) 734-5792

Specialties & licenses 1

Addresses

Other names 1

• Shed Medically Supervised Weight Loss Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1891390282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 RIDGE LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101210",
            "telephone_number": "214-734-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 430",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930001",
            "telephone_number": "214-734-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHED BY DR. K, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-734-5792",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shed Medically Supervised Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Feda Shawwa, LPC
• Shayaare Collection LLC
• Mitra Shayegh
• Heidi Chamberlain Shea, M.D.
• Haley Shearer, OTD
• Michael Sheehan, PA-C
• Anna Negri Sheehey, RPH
• Amelia M Sheehy, P. T.
• Derek Sheen, MD
• Sydney Sheets, RBT

• Obesity Medicine (Internal Medicine) Physician in Plano, TX
• Providers in Plano, TX by specialty
• Obesity Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.