Provider Demographics
NPI:1255375390
Name:LAHIJI, HOSSEIN (MD)
Entity type:Individual
Prefix:DR
First Name:HOSSEIN
Middle Name:
Last Name:LAHIJI
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 1:801 E NOLANA ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6106
Mailing Address - Country:US
Mailing Address - Phone:956-687-8080
Mailing Address - Fax:956-668-9595
Practice Address - Street 1:801 EAST NOLANA
Practice Address - Street 2:STE 20
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6106
Practice Address - Country:US
Practice Address - Phone:956-687-8080
Practice Address - Fax:956-668-9595
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9145174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340020733OtherRAILROAD
TX100212303Medicaid
TX8G3336OtherBCBS
TXF71218Medicare UPIN
TX8A3760Medicare PIN