Individual ProviderFarrah KheradmandInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1 Baylor Plz Ste 520b, Houston, TX 77030-3411(713) 798-8622(713) 838-8285PECOS EnrollmentBased on the most recent information from CMS, provider Farrah Kheradmand does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982795910Provider TypeIndividualFull NameKheradmand, FarrahTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date9/27/2006Last Updated12/9/2010Contact InformationPractice LocationPractice Address1 Baylor Plz Ste 520b, Houston, TX 77030-3411Phone(713) 798-8622FaxUnlisted FaxMailing LocationMailing Address2314 Glen Haven Blvd, Houston, TX 77030-3608Phone(713) 838-8285FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseL0329Texas