Provider Demographics
NPI:1679793954
Name:KAHKASHAN ABIDI
Entity type:Organization
Organization Name:KAHKASHAN ABIDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAHKASHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-650-3501
Mailing Address - Street 1:5522 LINDEN GROVE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-342-6121
Mailing Address - Fax:713-780-0034
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:STE 127
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:281-342-6121
Practice Address - Fax:713-780-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health