Individual
DR. SHAHEEN KAVOUSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST STE 1812, HOUSTON, TX 77030-2775
(832) 306-3209
(832) 356-5462
Mailing address
2117 DEL MONTE DR, HOUSTON, TX 77019-3517
(713) 725-8012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01081778A
IN
207W00000X
Ophthalmology Physician
292289-1
NY
207W00000X
Ophthalmology Physician
A154904
CA
207W00000X
Ophthalmology Physician
Primary
Q4439
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Q4439
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10041058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347100507
—
TX
05
—
347100508
—
TX
05
—
347100509
—
TX
Enumeration date
03/29/2012
Last updated
10/27/2022
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