Individual
HEDIEH DAVANLOO
Active
Individual
HEDIEH DAVANLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7933
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
M7933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193450701
—
TX
01
—
193450704
MEDICAID - TARRANT
TX
01
—
193450705
MEDICAID - DALLAS
TX
01
—
19345073
MEDICAID - OTHER
TX
01
—
8X9564
BCBS
TX
01
—
P00642499
RAILROAD MEDICARE
TX
Enumeration date
09/21/2007
Last updated
02/13/2026
Update your record
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