Provider Demographics
NPI:1487947685
Name:PASDAR-SHIRAZI, CO-MAY DANG (MD)
Entity type:Individual
Prefix:
First Name:CO-MAY
Middle Name:DANG
Last Name:PASDAR-SHIRAZI
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 1:5502 CORANG VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4783
Mailing Address - Country:US
Mailing Address - Phone:281-797-9648
Mailing Address - Fax:
Practice Address - Street 1:7619 BRANFORD PL STE 210
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1010
Practice Address - Country:US
Practice Address - Phone:832-492-4467
Practice Address - Fax:833-471-3162
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5059207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty