=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467019448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMP ENDOCRINOLOGY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2019
-----------------------------------------------------
Last Update Date | 11/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4102 WOODLAWN AVE STE 210
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77504-1949
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-240-1189
-----------------------------------------------------
Fax | 281-915-0123
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6443 FAIRMONT PARKWAY, STE 140 PMB 276
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-240-1189
-----------------------------------------------------
Fax | 281-915-0123
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | ASHKAN MICHAEL ZAND
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 832-240-1189
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------