Podell, Kenneth

Podell, Kenneth is an individual health care provider with primary practice located at 6560 Fannin St Ste 1840 , Houston TX 77030-2734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Podell, Kenneth can be contacted via phone (713) 441-3780.

Contact Information

Primary practice address
6560 Fannin St Ste 1840 Houston TX 77030-2734
Phone: (713) 441-3780
Fax: (713) 790-6468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 6301010294 Michigan
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 36351 Texas

Profile Details

NPI number 1811045404
LBN Legal business name Podell, Kenneth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811045404 NPPES
Other KP010294 CHAMPUS-CHAMPUS
MEDICAID 310963902 CHAMPUS-CHAMPUS
Other KP010294 CHAMPUS-CHAMPUS
MEDICAID PHD888810 CHAMPUS-CHAMPUS
Other 7509104450 CHAMPUS-CHAMPUS

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