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NPI Code Detail

MEDICARE: DR. AZADEH RAZMANDI OD

MEDICARE:  DR. AZADEH  RAZMANDI  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG002303PA
2152W00000XOptometrist6909TGTX
3152W00000XOptometristTA2395MD
4152W00000XOptometristTPOP29FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053482687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AZADEH RAZMANDI OD
Provider Business Mailing Address
First Line : PO BOX 4439
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4439
Country : US
Telephone Number : 713-792-2991
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HOLCOMBE BLVD UNIT 1445
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4000
Country : US
Telephone Number : 713-794-5588
Fax Number : 713-794-4662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 03/16/2026

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Directions to “ DR. AZADEH RAZMANDI OD” Practice Location

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