Healthcare Provider Details

I. General information

NPI: 1154664738
Provider Name (Legal Business Name): SEVAHN ALLAHVERDIAN CARRIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEVAHN ALLAHVERDIAN

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 11/05/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 AVENUE H SUITE 701
ROSENBERG TX
77471-2013
US

IV. Provider business mailing address

6431 FANNIN ST JJL 495
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-1977
  • Fax:
Mailing address:
  • Phone: 713-500-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ7157
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: