Provider Demographics
NPI:1881279560
Name:JAHROMI, ASHKAN K (AA)
Entity type:Individual
Prefix:
First Name:ASHKAN
Middle Name:K
Last Name:JAHROMI
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2380 S MACGREGOR WAY APT 144
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1161
Mailing Address - Country:US
Mailing Address - Phone:214-709-6292
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-704-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant