Provider Demographics
NPI:1902199474
Name:ABDOLLAHIAN, DAVOOD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVOOD
Middle Name:JOSEPH
Last Name:ABDOLLAHIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2190 NORTH LOOP W
Mailing Address - Street 2:STE 250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8016
Mailing Address - Country:US
Mailing Address - Phone:281-206-9020
Mailing Address - Fax:281-206-9018
Practice Address - Street 1:6445 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1502
Practice Address - Country:US
Practice Address - Phone:713-441-0178
Practice Address - Fax:713-793-1404
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR19192085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76085OtherMARYLAND STATE LICENSE
IN11016009AOtherINDIANA STATE MEDICAL LICENSING BOARD
TXR1919OtherTEXAS MEDICAL BOARD