MEDICARE: DR. SHARHONDA KAZAN WASHINGTON D.D.S

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	1223G0001X	General Practice Dentistry	21169	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	:	1659499432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARHONDA KAZAN WASHINGTON D.D.S

Provider Business Mailing Address
First Line	:	11601 SHADOW CREEK PKWY STE 111-303
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7283
Country	:	US
Telephone Number	:	281-624-6269
Fax Number	:	281-504-7090

Provider Business Practice Location Address
First Line	:	8323 SOUTHWEST FWY STE 610
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1609
Country	:	US
Telephone Number	:	281-624-6269
Fax Number	:	281-504-7090

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	09/08/2021

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