Individual ProviderIman DoostanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6400 Fannin St Ste 2900, Houston, TX 77030-1555(713) 704-3961(832) 506-2339PECOS EnrollmentBased on the most recent information from CMS, provider Iman Doostan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1508216730Provider TypeIndividualFull NameDoostan, ImanTitleDr.CredentialM.D, PH.DGenderMaleSole ProprietorNoEnumeration Date6/19/2016Last Updated6/2/2025Contact InformationPractice LocationPractice Address6400 Fannin St Ste 2900, Houston, TX 77030-1555Phone(713) 704-3961FaxUnlisted FaxMailing LocationMailing Address5810 Utsa Blvd Apt 2135, San Antonio, TX 78249-4079Phone(832) 506-2339FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseU6226TexasCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseU6226TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseU6226Texas