MEDICARE: DR. KOUROSH JAHANGIR 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	207Q00000X	Family Medicine Physician	N0858	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	:	1811179047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOUROSH JAHANGIR MD

Provider Business Mailing Address
First Line	:	PO BOX 734812
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-4812
Country	:	US
Telephone Number	:	210-358-9500
Fax Number	:	210-358-9183

Provider Business Practice Location Address
First Line	:	21727 IH 10 W
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-2106
Country	:	US
Telephone Number	:	210-644-1200
Fax Number	:	210-702-4249

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	04/15/2025

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