Provider Demographics
NPI:1487215224
Name:PIRZADEH, AMIR (DR)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:PIRZADEH
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20711 BELLAIRE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3962
Mailing Address - Country:US
Mailing Address - Phone:281-344-2526
Mailing Address - Fax:
Practice Address - Street 1:20711 BELLAIRE BOULEVARD
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407
Practice Address - Country:US
Practice Address - Phone:281-744-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35213122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist