Provider Demographics
NPI:1407881527
Name:VAZIRINIA, NEGAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NEGAR
Middle Name:
Last Name:VAZIRINIA
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 1:7580 FANNIN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1919
Mailing Address - Country:US
Mailing Address - Phone:713-807-0029
Mailing Address - Fax:713-529-4784
Practice Address - Street 1:7580 FANNIN ST
Practice Address - Street 2:STE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1900
Practice Address - Country:US
Practice Address - Phone:713-807-0029
Practice Address - Fax:713-529-4784
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5658208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133454201Medicaid
TX133454205Medicaid
TX133454205Medicaid
TX00T64NMedicare PIN