Provider Demographics
NPI:1417006313
Name:KAHKESHANI, SAEED (MD)
Entity type:Individual
Prefix:
First Name:SAEED
Middle Name:
Last Name:KAHKESHANI
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 1:1010 W BAKER RD STE 1041010W
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2382
Mailing Address - Country:US
Mailing Address - Phone:281-420-1106
Mailing Address - Fax:281-428-1926
Practice Address - Street 1:1010 W BAKER RD STE 1041010W
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2382
Practice Address - Country:US
Practice Address - Phone:281-420-1106
Practice Address - Fax:281-428-1926
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH44532080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental DisabilitiesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093805201Medicaid
TX83V951Medicare ID - Type Unspecified
TXB23817Medicare UPIN