Provider Demographics
NPI:1689014045
Name:MOGHIMI, NARGES (MD)
Entity Type:Individual
Prefix:DR
First Name:NARGES
Middle Name:
Last Name:MOGHIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NARGES
Other - Middle Name:
Other - Last Name:MOGHIMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6410 FANNIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3000
Mailing Address - Country:US
Mailing Address - Phone:832-325-7080
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 7.101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7117
Practice Address - Fax:713-500-7120
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2017-07062084N0400X
TXT53992084N0400X, 2084N0600X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program