MEDICARE: SAMEH FIKRY ASKANDAR M.D

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	207Q00000X	Family Medicine Physician	54916	TN
2	207Q00000X	Family Medicine Physician	U1580	TX
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	U1580	TX

General Provider Information

NPI Number	:	1154736239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMEH FIKRY ASKANDAR M.D

Provider Business Mailing Address
First Line	:	PO BOX 57845
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-7845
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 RAVELLO RD STE 110
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5164
Country	:	US
Telephone Number	:	346-476-5955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	03/06/2026

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