Sogol Pahlavan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M2740 Issued in TX

Practice address

13711 Wallisville Rd
Houston, TX 77049-3908

Phone

(713) 455-7777

Fax

(713) 453-7337

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sogol@abc.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc Pediatric Clinic, P.a.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1417125642
  NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1154418804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 WALLISVILLE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770493908",
            "telephone_number": "713-455-7777",
            "fax_number": "713-453-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 WALLISVILLE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770493908",
            "telephone_number": "713-455-7777",
            "fax_number": "713-453-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLAVAN",
        "first_name": "SOGOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154418804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "M2740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarabjit Pahl
• Paymon Pahlavan, DDS
• Poorang Pahlavan, DDS
• Shane Pahlavan, M.D.
• Silen Pahlavan, M.D.
• Anahid Pahlawanian, D.O.
• Amber Marie Pahlke
• Brian Keith Pahlmann, PTA, ATC
• Neeta B Pahwa, RD
• Praneet Sai Paidisetty

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.