Healthcare Provider Details

I. General information

NPI: 1730124470
Provider Name (Legal Business Name): HASSAN CHAHADEH MD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 KATY FWY STE 150
HOUSTON TX
77007-2265
US

IV. Provider business mailing address

5225 KATY FWY STE 150
HOUSTON TX
77007-2265
US

V. Phone/Fax

Practice location:
  • Phone: 832-582-7269
  • Fax: 844-756-0668
Mailing address:
  • Phone: 832-582-7269
  • Fax: 844-756-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberJ6083
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: