Organization Active NPI

Kourosh Keyhani, DO PA

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1588890685
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
M6225 Issued in TX
Legal business name
KOUROSH KEYHANI, DO PA
Practice address
1631 North Loop W
#610
Houston, TX 77008-1528
Phone
(713) 880-8600
Fax
(713) 880-8374
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Kourosh Keyhani, DO
Title
Physician
Phone
(713) 880-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X M6225 TX Primary

Addresses

Primary practice location

1631 North Loop W
#610
Houston, TX 77008-1528

Mailing address

3123 Blue Bonnet
Houston, TX 77025-2003
Phone (713) 880-8600

National Provider Directory

National Provider Directory

Locations

1331 W Grand Pkwy N
Ste 250
Katy, TX 77493
Phone (281) 492-3365

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1588890685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 BLUE BONNET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252003",
            "telephone_number": "713-880-8600",
            "fax_number": "713-880-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "#610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081528",
            "telephone_number": "713-880-8600",
            "fax_number": "713-880-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH KEYHANI, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "KEYHANI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-880-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M6225",
            "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 Sep 28, 2010; 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.