Provider Demographics
NPI:1326366691
Name:SURI, ANUJ (MD)
Entity Type:Individual
Prefix:
First Name:ANUJ
Middle Name:
Last Name:SURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1026
Mailing Address - Fax:713-790-2019
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1026
Practice Address - Fax:713-790-2019
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC165116390200000X
TXP6286207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX324997104Medicaid
TXP01358796OtherRR MEDICARE
TX324997101Medicaid
TX8DU005OtherBCBS
TX324997102Medicaid
TX8FX476OtherBCBS
TX324997103Medicaid
TX8DU005OtherBCBS
TX292972YQ64Medicare PIN
TX324997103Medicaid
TX292972ZSWDMedicare PIN