1194096826 NPI number — RAASHID MAHMOOD CHOHAN SA-C

Table of content: RAASHID MAHMOOD CHOHAN SA-C (NPI 1194096826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194096826 NPI number — RAASHID MAHMOOD CHOHAN SA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOHAN
Provider First Name:
RAASHID
Provider Middle Name:
MAHMOOD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHOHAN
Provider Other First Name:
RAASHID
Provider Other Middle Name:
MAHMOOD
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SA-C
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1194096826
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5303 DANDELION MEADOW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77494-4886
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-291-1692
Provider Business Mailing Address Fax Number:
713-668-0430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5303 DANDELION MEADOW LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-4886
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-291-1692
Provider Business Practice Location Address Fax Number:
713-668-0430
Provider Enumeration Date:
01/26/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246ZC0007X , with the licence number:  11-229 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)