MEDICARE: PERIHAN DIMACHKIE MD

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	R2575	TX
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	32837	OK

General Provider Information

NPI Number	:	1457606113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERIHAN DIMACHKIE MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	346-245-6940
Fax Number	:	346-273-0799

Provider Business Practice Location Address
First Line	:	1140 BUSINESS CENTER DR STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2741
Country	:	US
Telephone Number	:	346-245-6940
Fax Number	:	346-273-0799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	01/22/2026

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Directions to “ PERIHAN DIMACHKIE MD” Practice Location

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