Provider Demographics
NPI:1689913279
Name:UNITED PSYCHIATRY INSTITUTE, LLC
Entity Type:Organization
Organization Name:UNITED PSYCHIATRY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILDPSYCHIATRIST, SLEEP SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAKEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-429-5325
Mailing Address - Street 1:9898 BISSONNET ST STE 362
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8025
Mailing Address - Country:US
Mailing Address - Phone:713-429-5325
Mailing Address - Fax:281-822-1556
Practice Address - Street 1:9898 BISSONNET ST STE 362
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8025
Practice Address - Country:US
Practice Address - Phone:713-429-5325
Practice Address - Fax:281-822-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-03
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX307500401Medicaid