Provider Demographics
NPI:1619960994
Name:AHUJA, ANOOP S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANOOP
Middle Name:S
Last Name:AHUJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4101 GREENBRIAR ST
Mailing Address - Street 2:SUITE #320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5294
Mailing Address - Country:US
Mailing Address - Phone:713-795-0111
Mailing Address - Fax:713-795-8586
Practice Address - Street 1:4101 GREENBRIAR ST
Practice Address - Street 2:SUITE #320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098
Practice Address - Country:US
Practice Address - Phone:713-795-0111
Practice Address - Fax:713-795-8586
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9966207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043207201Medicaid
TX043207201Medicaid
8485K0Medicare ID - Type Unspecified