Provider Demographics
NPI:1003006974
Name:HASSAN CHAHADEH MDPA
Entity type:Organization
Organization Name:HASSAN CHAHADEH MDPA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAHADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-582-7269
Mailing Address - Street 1:5225 KATY FWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2265
Mailing Address - Country:US
Mailing Address - Phone:832-582-7269
Mailing Address - Fax:844-756-0668
Practice Address - Street 1:5225 KATY FWY STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2265
Practice Address - Country:US
Practice Address - Phone:832-582-7269
Practice Address - Fax:844-756-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0063JSOtherBCBS
TX163540101Medicaid