Provider Demographics
NPI:1518078963
Name:ALADE, KIYETTA H (MD)
Entity Type:Individual
Prefix:
First Name:KIYETTA
Middle Name:H
Last Name:ALADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIYETTA
Other - Middle Name:H
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:MC 1-1481
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-824-5497
Mailing Address - Fax:832-825-5424
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:MC 1-1481
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-824-5497
Practice Address - Fax:832-825-5424
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM64922080P0204X
FLME93167208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics