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

Seyed Mahdi Hosseini Siahkalmahalleh

Individual provider Family Nurse Practitioner · NPI 1861217259

Seyed Mahdi Hosseini Siahkalmahalleh is a Nurse Practitioner in Live Oak, Texas. Qualified in 2022, 4 years ago. Offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

12881 N Ih 35
Live Oak, TX 78233-2966
Phone: (210) 742-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1172153 (TX)

Record details

NPI number1861217259
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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