Provider Demographics
NPI:1053408716
Name:PAHLAVAN, SILEN (MD)
Entity type:Individual
Prefix:DR
First Name:SILEN
Middle Name:
Last Name:PAHLAVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 WALLISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-3908
Mailing Address - Country:US
Mailing Address - Phone:713-455-7777
Mailing Address - Fax:713-453-7337
Practice Address - Street 1:13711 WALLISVILLE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-3908
Practice Address - Country:US
Practice Address - Phone:713-455-7777
Practice Address - Fax:713-453-7337
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2739208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM2739OtherLICENSE NUMBER
TX760645186OtherTAX ID#