Provider Demographics
NPI:1316139835
Name:ABIDI, KAHKASHAN
Entity type:Individual
Prefix:
First Name:KAHKASHAN
Middle Name:
Last Name:ABIDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5522 LINDEN GROVE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8802
Mailing Address - Country:US
Mailing Address - Phone:281-650-3501
Mailing Address - Fax:713-780-0034
Practice Address - Street 1:10101 HARWIN DR
Practice Address - Street 2:SUITE 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1687
Practice Address - Country:US
Practice Address - Phone:713-484-7100
Practice Address - Fax:713-484-7101
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679619Medicare Oscar/Certification