MEDICARE: ESTEBAN N BERBERIAN M.D.

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	207R00000X	Internal Medicine Physician	K8002	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1962490052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEBAN N BERBERIAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1939
Second Line	:
City	:	CHANNELVIEW
State	:	TX
Zip	:	77530-1939
Country	:	US
Telephone Number	:	281-984-8799
Fax Number	:	832-941-5533

Provider Business Practice Location Address
First Line	:	12930 EAST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-5710
Country	:	US
Telephone Number	:	281-984-8799
Fax Number	:	832-941-5533

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/23/2025

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