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NPI Code Detail

MEDICARE: DR. SUSHOVAN GUHA MD, PHD

MEDICARE: DR. SUSHOVAN GUHA MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianM1728TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00622320OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38P5557OTHERTXBCBS

General Provider Information

NPI Number : 1538269840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSHOVAN GUHA MD, PHD
Provider Business Mailing Address
First Line : 15555 CREEK BEND DR STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4670
Country : US
Telephone Number : 832-707-5011
Fax Number :
Provider Business Practice Location Address
First Line : 15555 CREEK BEND DR STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4670
Country : US
Telephone Number : 832-707-5011
Fax Number : 281-612-1992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 02/09/2026

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