Provider Demographics
NPI:1235177866
Name:SANHAJI, LATIFA (MD)
Entity Type:Individual
Prefix:
First Name:LATIFA
Middle Name:
Last Name:SANHAJI
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 1:6431 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7706
Mailing Address - Fax:713-500-7710
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7700
Practice Address - Fax:713-704-5734
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN13302085R0202X
TXFTL418202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174549902OtherCSHCN
TX174549906Medicaid
TX85718YOtherBCBS
TX174549901Medicaid
TX174549902OtherCSHCN
I36842Medicare UPIN