Provider Demographics
NPI:1508216730
Name:DOOSTAN, IMAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:IMAN
Middle Name:
Last Name:DOOSTAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:IMAN
Other - Middle Name:
Other - Last Name:DOOSTAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5810 UTSA BLVD APT 2135
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4079
Mailing Address - Country:US
Mailing Address - Phone:832-506-2339
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST STE 2900
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1555
Practice Address - Country:US
Practice Address - Phone:713-704-3961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-19
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6226208M00000X, 207RH0003X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine