Provider Demographics
NPI:1326332149
Name:KOHLI, SHIKHA
Entity Type:Individual
Prefix:
First Name:SHIKHA
Middle Name:
Last Name:KOHLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9727 SPRING GREEN BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4138
Mailing Address - Country:US
Mailing Address - Phone:281-789-6300
Mailing Address - Fax:
Practice Address - Street 1:9727 SPRING GREEN BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4138
Practice Address - Country:US
Practice Address - Phone:281-789-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1188208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics