Kavoussi, Shaheen
Kavoussi, Shaheen is an sole proprietor health care provider with primary practice located at 6560 Fannin St Ste 1812 , Houston TX 77030-2775. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kavoussi, Shaheen can be contacted via phone (832) 306-3209.Contact Information
Primary practice address
6560 Fannin St Ste 1812
Houston TX 77030-2775
Phone: (832) 306-3209
Fax: (832) 356-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 292289-1 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01081778A | Indiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A154904 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | Q4439 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BP10041058 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Q4439 | Texas |
Profile Details
| NPI number | 1063788446 |
|---|---|
| LBN Legal business name | Kavoussi, Shaheen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Oct 27th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063788446 | NPPES |
| Texas | MEDICAID | 347100509 | |
| Texas | MEDICAID | 347100507 | |
| Texas | MEDICAID | 347100508 |
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