Qaveni Holding LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03357 Issued in TX

Legal business name

QAVENI HOLDING LLC

Practice address

8449 W Bellfort St
Suite 285
Houston, TX 77071-2245

Phone

(832) 366-5980

Fax

(713) 900-6007

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Damian Okpako Idjagboro, PA

Title

Ceo

Phone

(832) 366-5980

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1326328592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 WEST BELLFORT ROAD",
            "address_2": "SUITE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77071",
            "telephone_number": "832-366-5980",
            "fax_number": "713-900-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 W BELLFORT ST",
            "address_2": "SUITE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712245",
            "telephone_number": "832-366-5980",
            "fax_number": "713-900-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAVENI HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "IDJAGBORO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "OKPAKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-366-5980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Asma Qayyum
• Mariam Qazi, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.