Provider Demographics
NPI:1154736239
Name:ASKANDAR, SAMEH FIKRY (MD)
Entity type:Individual
Prefix:
First Name:SAMEH
Middle Name:FIKRY
Last Name:ASKANDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26623 WILD ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1068
Mailing Address - Country:US
Mailing Address - Phone:901-451-0268
Mailing Address - Fax:
Practice Address - Street 1:8520 BROADWAY ST STE 200
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7716
Practice Address - Country:US
Practice Address - Phone:281-485-4050
Practice Address - Fax:281-485-6850
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54916207Q00000X
TXU1580207RG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine