Provider Demographics
NPI:1922180637
Name:OHANIAN, SEVAK (MD)
Entity Type:Individual
Prefix:
First Name:SEVAK
Middle Name:
Last Name:OHANIAN
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 1:411 PARK GROVE LN STE 510
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1575
Mailing Address - Country:US
Mailing Address - Phone:713-461-7878
Mailing Address - Fax:713-461-7877
Practice Address - Street 1:411 PARK GROVE LN STE 510
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1575
Practice Address - Country:US
Practice Address - Phone:713-461-7878
Practice Address - Fax:713-461-7877
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK56452084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U3400OtherBCBS
TX182267801Medicaid
TXH14723Medicare UPIN
TX8U3400OtherBCBS