Provider Demographics
NPI:1104266477
Name:BASHIR, FERHAD FEROZE (MD)
Entity type:Individual
Prefix:
First Name:FERHAD
Middle Name:FEROZE
Last Name:BASHIR
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 1:1790 HUGHES LANDING BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1691
Mailing Address - Country:US
Mailing Address - Phone:832-209-8286
Mailing Address - Fax:832-995-5874
Practice Address - Street 1:1790 HUGHES LANDING BLVD STE 400
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1691
Practice Address - Country:US
Practice Address - Phone:832-209-8286
Practice Address - Fax:832-995-5874
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA795072084N0400X
IL0361411062084N0400X
TXS08422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology