Provider Demographics
NPI:1376645515
Name:RASEKH, ABDI (MD)
Entity Type:Individual
Prefix:MR
First Name:ABDI
Middle Name:
Last Name:RASEKH
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 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:6624 FANNIN
Practice Address - Street 2:#2480
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2309
Practice Address - Country:US
Practice Address - Phone:713-529-5530
Practice Address - Fax:713-383-0051
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5190207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110191733OtherMCR RAILROAD
TX5122523OtherAETNA
TX102830001Medicaid
TX82T4FKOtherBCBS
TX102830001Medicaid
TX110191733OtherMCR RAILROAD