Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Reza Fredrick Ghohestani, MDPHD

Individual provider Dermatology Physician · NPI 1902879687

Prof. Reza Fredrick Ghohestani, MDPHD is a Dermatology in San Antonio, Texas. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
33
Licensed in
PA, TX
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

24165 W IH-10 Ste 102
San Antonio, TX 78257
Phone: (210) 846-5350
Fax: (210) 547-7913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence N0043 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence MD427324 (PA)

Record details

NPI number1902879687
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedFebruary 11, 2006
Last updated in NPPESNovember 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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