Provider Demographics
NPI:1225534274
Name:NESHATI, PARINAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PARINAZ
Middle Name:
Last Name:NESHATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 RICHMOND AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4622
Mailing Address - Country:US
Mailing Address - Phone:713-715-1234
Mailing Address - Fax:713-492-0684
Practice Address - Street 1:9701 RICHMOND AVE STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4622
Practice Address - Country:US
Practice Address - Phone:713-715-1234
Practice Address - Fax:713-492-0684
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10062851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine