Organization
SOUTHEAST DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHKAN JOHN GHORBANI MD (PRESIDENT)
(281) 991-5944
Entity
Organization
Contact information
Practice address
4419 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 991-5944
(281) 991-6849
Mailing address
4419 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 991-5944
(281) 991-6849
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080342101
—
TX
Enumeration date
06/18/2006
Last updated
04/21/2026
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