Organization Active NPI

Bahar Immunization Center LLC

  • Pediatric Adolescent Medicine Physician
  • Houston, TX
National Provider Identifier
1053725978
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
BAHAR IMMUNIZATION CENTER LLC
Practice address
5200 Mitchelldale St
F-27
Houston, TX 77092-7206
Phone
(832) 878-2044
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Siavash Tehrani
Title
Member Manager
Phone
(832) 878-2044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

5200 Mitchelldale St
F-27
Houston, TX 77092-7206

Mailing address

5200 Mitchedalle Suite F-27
Houston, TX 77092
Phone (832) 878-2044

National Provider Directory

National Provider Directory

Locations

5990 Airline Dr
Ste NO200
Houston, TX 77076

5990 Airline Dr
Ste 200260
Houston, TX 77076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1053725978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MITCHEDALLE SUITE F-27",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092",
            "telephone_number": "832-878-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MITCHELLDALE ST",
            "address_2": "F-27",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927206",
            "telephone_number": "832-878-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHAR IMMUNIZATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "SIAVASH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "832-878-2044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.