Provider Demographics
NPI:1922150986
Name:SOKHON, KOZHAYA CHEHADE (MD)
Entity Type:Individual
Prefix:
First Name:KOZHAYA
Middle Name:CHEHADE
Last Name:SOKHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 CYPRESS STATION DR
Mailing Address - Street 2:STE A3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3054
Mailing Address - Country:US
Mailing Address - Phone:281-533-5333
Mailing Address - Fax:281-719-5849
Practice Address - Street 1:1125 CYPRESS STATION DR
Practice Address - Street 2:STE A3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3054
Practice Address - Country:US
Practice Address - Phone:281-533-5333
Practice Address - Fax:281-719-5849
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9668207RC0000X, 207RC0001X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204012303 HARRIS COMedicaid
TX204012302 MONTGOMERYMedicaid
TX8F20702 - HARRIS COMedicare PIN
TX8F21159 MONTGOMERYMedicare PIN