Provider Demographics
NPI:1942302989
Name:AMJADI, ROJAN (MD)
Entity Type:Individual
Prefix:MR
First Name:ROJAN
Middle Name:
Last Name:AMJADI
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 1:915 GESSNER RD
Mailing Address - Street 2:#870
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-465-6198
Mailing Address - Fax:713-465-6919
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:#870
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-465-6198
Practice Address - Fax:713-465-6919
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ84392086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079660901Medicaid
TX86350NMedicare PIN