Organization Active NPI

Shayan a. Izaddoost, M.D., P.L.L.C.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1720319296
Registry record updated Jan 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N0850 Issued in TX
Legal business name
SHAYAN A. IZADDOOST, M.D., P.L.L.C.
Practice address
3936 Milton St
Houston, TX 77005-2848
Phone
(832) 350-1020
NPI assigned
Jan 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2010

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

Authorized official

Name
Dr. Shayan A Izaddoost, MD, PHD
Title
Manager
Phone
(832) 350-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X N0850 TX Primary

Addresses

Primary practice location

3936 Milton St
Houston, TX 77005-2848

Mailing address

3936 Milton St
Houston, TX 77005-2848
Phone (832) 350-1020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264204800000",
    "number": "1720319296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 MILTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052848",
            "telephone_number": "832-350-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 MILTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052848",
            "telephone_number": "832-350-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYAN A. IZADDOOST, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A",
        "authorized_official_last_name": "IZADDOOST",
        "authorized_official_first_name": "SHAYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-350-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N0850",
            "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 Jan 23, 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.