Individual
MATT REZA KHOSHNEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN, FONDREN 270, HOUSTON, TX 77030
(713) 441-3020
(713) 793-7064
Mailing address
6565 FANNIN, FONDREN 270, HOUSTON, TX 77030
(713) 441-3020
(713) 793-7064
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L2373
TX
207RP1001X
Pulmonary Disease Physician
L2373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165783505
—
TX
Enumeration date
09/13/2006
Last updated
07/21/2022
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