Provider Demographics
NPI:1699018234
Name:BHAMA, SAMEEKSHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMEEKSHA
Middle Name:
Last Name:BHAMA
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 1:18960 N MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4216
Mailing Address - Country:US
Mailing Address - Phone:281-540-7905
Mailing Address - Fax:281-540-7357
Practice Address - Street 1:18960 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4216
Practice Address - Country:US
Practice Address - Phone:281-540-7905
Practice Address - Fax:281-540-7357
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10046397207R00000X
TXR0194207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX365250502Medicaid
TX365250502Medicaid