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1992052161

NPI Code Detail

MEDICARE: DR. BHOOSHAN MANUJA PERERA M.D.

MEDICARE: DR. BHOOSHAN MANUJA PERERA M.D.

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
1	207R00000X	Internal Medicine Physician	R5623	TX
2	207R00000X	Internal Medicine Physician	53446	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8MS874	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1992052161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHOOSHAN MANUJA PERERA M.D.

Provider Business Mailing Address
First Line	:	18333 EGRET BAY BLVD STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3239
Country	:	US
Telephone Number	:	281-332-3001
Fax Number	:	281-332-3005

Provider Business Practice Location Address
First Line	:	18333 EGRET BAY BLVD STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3239
Country	:	US
Telephone Number	:	281-332-3001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	03/11/2026

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Directions to “ DR. BHOOSHAN MANUJA PERERA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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