MEDICARE: SAEED KAHKESHANI MD

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	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	H4453	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417006313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAEED KAHKESHANI MD

Provider Business Mailing Address
First Line	:	1010 W BAKER RD STE 1041010W
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-2382
Country	:	US
Telephone Number	:	281-420-1106
Fax Number	:	281-428-1926

Provider Business Practice Location Address
First Line	:	1010 W BAKER RD STE 1041010W
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-2382
Country	:	US
Telephone Number	:	281-420-1106
Fax Number	:	281-428-1926

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	11/18/2024

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