Provider Demographics
NPI:1366493603
Name:SADEGHIAN, RAMESH (DC)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:SADEGHIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14770 MEMORIAL DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5252
Mailing Address - Country:US
Mailing Address - Phone:281-493-5535
Mailing Address - Fax:281-495-3353
Practice Address - Street 1:14770 MEMORIAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5252
Practice Address - Country:US
Practice Address - Phone:281-493-5535
Practice Address - Fax:281-495-3353
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
00L76BOtherTASA MEDICARE GROUP NUMB
TX81V7321OtherTASA MEDICARE INDIVIDUAL