Provider Demographics
NPI:1114116407
Name:HASSAN CHAHADEH
Entity Type:Organization
Organization Name:HASSAN CHAHADEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M D
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAHADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-802-9799
Mailing Address - Street 1:PO BOX 4346
Mailing Address - Street 2:DEPT 37
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4346
Mailing Address - Country:US
Mailing Address - Phone:713-802-9799
Mailing Address - Fax:713-802-1511
Practice Address - Street 1:5225 KATY FWY
Practice Address - Street 2:#105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2264
Practice Address - Country:US
Practice Address - Phone:713-802-9799
Practice Address - Fax:713-802-1511
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HASSAN CHAHADEH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6083208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A6694Medicare PIN