MEDICARE: HASSAN CHAHADEH MDPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0063JS	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003006974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASSAN CHAHADEH MDPA

Provider Business Mailing Address
First Line	:	5225 KATY FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2265
Country	:	US
Telephone Number	:	832-582-7269
Fax Number	:	844-756-0668

Provider Business Practice Location Address
First Line	:	5225 KATY FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2265
Country	:	US
Telephone Number	:	832-582-7269
Fax Number	:	844-756-0668

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	HASSAN CHAHADEH
Credential	:
Telephone Number	:	832-582-7269

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	09/02/2025

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