Provider Demographics
NPI:1063413235
Name:ACHKAR, KATAFAN (MD)
Entity type:Individual
Prefix:DR
First Name:KATAFAN
Middle Name:
Last Name:ACHKAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-724-8296
Mailing Address - Fax:281-724-1858
Practice Address - Street 1:600 N KOBAYASHI STE 312
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-8296
Practice Address - Fax:281-724-1858
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8192207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125611703Medicaid
TX390007297OtherMEDICARE RAILROAD
TX8637K0OtherBLUECROSSBLUESHIELD
TX8637K0Medicare PIN
TX125611703Medicaid