Healthcare Provider Details

I. General information

NPI: 1427491794
Provider Name (Legal Business Name): RASHEEN IMTIAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11225 W GRAND PKWY S
RICHMOND TX
77407-8728
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY HR/CREDENTIALING SERVICES
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 346-674-1700
  • Fax:
Mailing address:
  • Phone: 713-442-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberQ7393
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: