Provider Demographics
NPI:1356615553
Name:SUHENDRA, MICHELLE ANGELINE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANGELINE
Last Name:SUHENDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 PINE BROOK CT
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4793
Mailing Address - Country:US
Mailing Address - Phone:832-640-8382
Mailing Address - Fax:888-450-0782
Practice Address - Street 1:17189 I 45 S
Practice Address - Street 2:SUITE 235
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:832-539-7532
Practice Address - Fax:832-336-3809
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP1823208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics