Izaddoost, Shayan Alireza

Izaddoost, Shayan Alireza is an individual health care provider with primary practice located at 2727 W Holcombe Blvd , Houston TX 77025-1669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Izaddoost, Shayan Alireza can be contacted via phone (713) 442-0000.

Contact Information

Primary practice address
2727 W Holcombe Blvd Houston TX 77025-1669
Phone: (713) 442-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X N0850 Texas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X N0850 Texas

Profile Details

NPI number 1457599706
LBN Legal business name Izaddoost, Shayan Alireza
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2009
Last updated Sep 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457599706 NPPES
Texas MEDICAID 204706009
Texas MEDICAID 204706010

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