MEDICARE: INTERVENTIONAL PAIN MANAGEMENT

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	174400000X	Specialist

General Provider Information

NPI Number	:	1215153101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTIONAL PAIN MANAGEMENT

Provider Business Mailing Address
First Line	:	PO BOX 4346
Second Line	:	DEPT. 37
City	:	HOUSTON
State	:	TX
Zip	:	77210-4346
Country	:	US
Telephone Number	:	713-802-9799
Fax Number	:	713-802-1511

Provider Business Practice Location Address
First Line	:	5225 KATY FWY
Second Line	:	105
City	:	HOUSTON
State	:	TX
Zip	:	77007-2264
Country	:	US
Telephone Number	:	713-802-9799
Fax Number	:	713-800-2151

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HASSAN CHAHADEH
Credential	:	M.D.
Telephone Number	:	713-554-0980

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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Directions to “INTERVENTIONAL PAIN MANAGEMENT ” Practice Location

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