Provider Demographics
NPI:1477934461
Name:GAZI, ISRAT JAHAN (DO)
Entity Type:Individual
Prefix:
First Name:ISRAT
Middle Name:JAHAN
Last Name:GAZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ISRAT
Other - Middle Name:
Other - Last Name:GAZI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 57845
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7845
Mailing Address - Country:US
Mailing Address - Phone:281-724-1862
Mailing Address - Fax:281-724-1859
Practice Address - Street 1:600 N KOBAYASHI STE 208
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-1862
Practice Address - Fax:281-724-1859
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine