Active NPI
Maheen Adnan, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1295378701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9504
- Practice address
- 6701 Fannin Street
Houston, TX 77030 - Phone
- (832) 824-1000
- NPI assigned
- Oct 28, 2019
- Reactivated
- May 20, 2021
- Last updated
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9504 | GA | Primary |
Addresses
Primary practice location
6701 Fannin Street
Houston, TX 77030
Mailing address
2405 Holcombe Blvd
Ste NB - 34L
Houston, TX 77021
Phone (832) 828-3660
Other practice location 1
1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9504 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1295378701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 HOLCOMBE BLVD",
"address_2": "STE NB - 34L",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77021",
"telephone_number": "832-828-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN STREET",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [
{
"address_1": "1310 Southern Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200324623",
"country_code": "US",
"telephone_number": "202-574-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADNAN",
"first_name": "MAHEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"deactivation_date": "2021-04-30",
"reactivation_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9504",
"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 May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.