Individual
MR. EGHTEDAROLAH SADEGHPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9180 KATY FWY STE 200, HOUSTON, TX 77055-7443
(713) 984-1400
(713) 984-0544
Mailing address
9180 KATY FWY, STE 200, HOUSTON, TX 77055-7454
(713) 932-6100
(713) 984-0544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G1181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T30Z
BCBS
TX
05
—
00T30Z
—
TX
05
—
099977301
—
TX
01
—
200022490
MEDICARE RAILROAD
TX
01
—
MDG1181
WORKERS COMP
PA
Enumeration date
09/15/2005
Last updated
11/28/2012
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