MATT REZA KHOSHNEVIS (NPI# 1215032305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215032305 |
| Entity Type | Individual |
| Full Name | MATT REZA KHOSHNEVIS |
| Credential | M.D. |
| Practice Address |
6565 Fannin Fondren 270 Houston TX 77030 |
| Practice Telephone | (713) 441-3020 |
| Practice Fax Number | 7137937064 |
| Mailing Telephone | (713) 441-3020 |
| Mailing Fax Number | 7137937064 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
L2373 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
L2373 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 165783505 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3851 Katella Ave, Ste 315, Los Alamitos, CA 907203377 | 2818376300 |
| Street Address |
6565 FANNIN FONDREN 270 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598727331 | Vascular Diagnostic Laboratory | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6565 Fannin, F922, Houston, TX 77030-2707 | 2006-04-05 |
| 1104457423 | Rachel Kushaney | Nurse Practitioner | 6565 Fannin, Alkek 754, Houston, TX 77030 | 2020-01-27 |
| 1699250787 | Meaghan Marie Brown | Nurse Practitioner | 6565 Fannin, Smith 1601, Houston, TX 77030 | 2018-09-25 |
| 1568805877 | Anna Cecilia Sandejas Tenorio | Family Medicine | 6565 Fannin, Main 577, Houston, TX 77030 | 2013-04-17 |
| 1164708772 | Steven Huan-ling Hsu | Internal Medicine | 6565 Fannin, Fondren 270, Houston, TX 77030 | 2011-10-26 |
| 1932344785 | Munir Shahjahan | Pathology | 6565 Fannin, M227, Houston, TX 77030 | 2008-12-09 |
| 1306081518 | Roger Selouan | Radiology | 6565 Fannin, Houston, TX 77030 | 2008-12-03 |
| 1760669832 | Victoria Ann Sgarlat | Nurse Practitioner | 6565 Fannin, Mgj 11 002, Houston, TX 77030 | 2008-01-30 |
| 1811191240 | Charyl Renee Bell-gordon | Nurse Practitioner | 6565 Fannin, Mgj 11-002, Houston, TX 77030 | 2007-06-11 |
| 1467471557 | Christie Mitchell Ballantyne | Internal Medicine | 6565 Fannin, B160, Houston, TX 77030 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295056877 | Pccss, LLP. | Internal Medicine | 7500 Beechnut St., Ste. 250, Houston, TX 77074-4396 | 2010-06-17 |
| 1720319601 | Supriya Singh | Internal Medicine | 1709 Dryden Rd Ste 5.57, Houston, TX 77030-2400 | 2010-01-17 |
| 1477798676 | Benjamin J Blow | Internal Medicine | 1701 Hermann Dr Unit 1907, Houston, TX 77004-7361 | 2008-12-03 |
| 1558533901 | Christina C. Kao | Internal Medicine | 6720 Bertner Ave Ste C-355, Houston, TX 77030-2604 | 2008-03-26 |
| 1053501254 | Mauricio A. Reinoso, Md Pa | Internal Medicine | 7789 Southwest Fwy Ste 560, Suite: 560, Houston, TX 77074-1838 | 2007-07-25 |
| 1467650507 | Thalia N Casimire | Internal Medicine | 13300 Hargrave Rd Ste 100, Houston, TX 77070-4532 | 2007-07-10 |
| 1578764288 | Christopher J. Cortes M.d., P.a. | Internal Medicine | 1315 St Joseph Pkwy Ste 1107, Houston, TX 77002-8235 | 2007-05-30 |
| 1093802571 | Medical Center Intensivists, P.a. | Internal Medicine | 3310 Louvre Ln, Houston, TX 77082-6686 | 2006-10-06 |
| 1396850798 | Jennifer Lori Cunningham-farbstein | Internal Medicine | 8403 Lorrie Dr, Houston, TX 77025-3236 | 2006-08-19 |
| 1770596736 | Ghassan A Noureddine | Internal Medicine | 6400 Fannin St Ste 2280, Houston, TX 77030-1521 | 2006-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.