Provider Demographics
NPI:1730124470
Name:CHAHADEH, HASSAN (MD PA)
Entity Type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:
Last Name:CHAHADEH
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JORIE BLVD STE 370
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4512
Mailing Address - Country:US
Mailing Address - Phone:630-926-3408
Mailing Address - Fax:331-215-6283
Practice Address - Street 1:9079 KATY FWY STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1637
Practice Address - Country:US
Practice Address - Phone:832-582-7269
Practice Address - Fax:844-756-0668
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6083208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G3277OtherBCBS
TX8G3277OtherBCBS