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Export Provider Record NPI 1063467439
Farah MamedovMD
Active
NPI Number1063467439
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1063467439
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-24
Last Updated2011-01-03
Mailing Address13114 Fm 1960 Rd W, 114
Houston, TX 77065-4290
United States
Phone: (281) 469-2838 | Fax: (281) 469-2247
📍 View Map
Primary Practice Address13114 Fm 1960 Rd W, 114
Houston, TX 77065-4290
United States
Phone: (281) 469-2838 | Fax: (281) 469-2247
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsTXM1223
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About NPI 1063467439

Farah Mamedov MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063467439. The primary specialty listed is Pediatrics. The provider is located in Houston, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063467439?

NPI 1063467439 belongs to Farah Mamedov MD, a Pediatrics in Houston, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063467439 active?

The current status of NPI 1063467439 in the NPPES registry is Active. The record was last updated on 2011-01-03.

What specialty is NPI 1063467439?

NPI 1063467439 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063467439?

You can verify NPI 1063467439 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063467439?

The primary practice address on file for NPI 1063467439 is 13114 Fm 1960 Rd W, Houston, TX 77065-4290. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063467439 issued?

NPI 1063467439 was first issued (enumerated) on 2006-05-24. The NPPES record was last updated on 2011-01-03.

Practice Location Map

Farah Mamedov is located at 13114 Fm 1960 Rd W, Houston, TX. Use the map below to find directions or verify the practice location.

📍 13114 Fm 1960 Rd W, Houston, TX 77065-4290  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Farah Mamedov. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063467439. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsM1223TX
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162