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

Vida Chitsazzadeh, MDPHD

Individual provider Dermatology Physician · NPI 1255795225

Vida Chitsazzadeh, MDPHD is a Dermatology in Houston, Texas. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

2221 W Dallas St Apt 413
Houston, TX 77019-4750
Phone: (832) 433-0031
Fax: (832) 433-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 S Ponds Dr, Webster, TX 77598-1409 — (713) 442-4300

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence T3448 (TX)

Record details

NPI number1255795225
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESDecember 30, 2024
Certification dateMarch 30, 2022
Mailing address11511 Shadow Creek Pkwy, Pearland, TX 77584-7298

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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