Provider Demographics
NPI:1407171317
Name:EHSANZADEH CHEEMEH, PARVANEH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PARVANEH
Middle Name:
Last Name:EHSANZADEH CHEEMEH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23920 KATY FREEWAY
Mailing Address - Street 2:SUITE 540
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:281-644-8750
Mailing Address - Fax:
Practice Address - Street 1:23920 KATY FREEWAY
Practice Address - Street 2:SUITE 540
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:281-644-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ71832083X0100X, 390200000X
NM390200000X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine