Provider Demographics
NPI:1275286635
Name:HASSAN CHAHADEH I PLLC
Entity type:Organization
Organization Name:HASSAN CHAHADEH I PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:POURMOGHADDAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-582-7269
Mailing Address - Street 1:5225 KATY FWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2265
Mailing Address - Country:US
Mailing Address - Phone:832-582-7269
Mailing Address - Fax:
Practice Address - Street 1:5225 KATY FWY STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2265
Practice Address - Country:US
Practice Address - Phone:832-582-7269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty