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General NPI Number Information
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NPI Number | 1750193223
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Entity Type | Organization
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Legal Business Name | INNOVAHEALTH PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 4102 WOODLAWN AVE STE 210
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City | PASADENA
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State | TX
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Zip | 77504-1949
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Country | US
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Telephone | 832-240-1189
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Fax | 832-280-5025
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Provider Business Mailing Address
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Address Line | 6443 FAIRMONT PARKWAY, STE 140 PMB 276
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City | PASADENA
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State | TX
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Zip | 77505
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Country | US
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Telephone | 832-240-1189
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Fax | 832-280-5025
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ASHKAN MICHAEL ZAND
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Credential | MD
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Telephone | 832-240-1189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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