Provider Demographics
NPI:1619363595
Name:ESKANDARI, GHAZALEH (MD)
Entity Type:Individual
Prefix:
First Name:GHAZALEH
Middle Name:
Last Name:ESKANDARI
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:ONE BAYLOR PLAZA
Mailing Address - Street 2:#286A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:832-516-5905
Mailing Address - Fax:
Practice Address - Street 1:6720 BERTNER AVE. (CHI BAYLOR ST. LUKE'S MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-4661
Practice Address - Fax:713-798-5838
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9294207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology