Provider Demographics
NPI:1588854194
Name:SEHGAL, PUJA ANIL (MD)
Entity Type:Individual
Prefix:
First Name:PUJA
Middle Name:ANIL
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:1200 MCKINNEY ST
Practice Address - Street 2:SUITE 473
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010-2016
Practice Address - Country:US
Practice Address - Phone:713-442-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281704102Medicaid
TX281704101Medicaid
TX8K0271Medicare PIN
TX468329YKTVMedicare PIN
TX281704101Medicaid