Provider Demographics
NPI:1710392493
Name:MEHMANDOOST, NEDA (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEDA
Middle Name:
Last Name:MEHMANDOOST
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4543 POST OAK PLACE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3103
Mailing Address - Country:US
Mailing Address - Phone:713-797-1087
Mailing Address - Fax:713-797-9814
Practice Address - Street 1:4543 POST OAK PLACE DR STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3103
Practice Address - Country:US
Practice Address - Phone:713-797-1087
Practice Address - Fax:713-797-9814
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT60-2014213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery