Healthcare Provider Details

I. General information

NPI: 1952920530
Provider Name (Legal Business Name): ANUSHA A ALIKHAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANUSHA A ABBAS DO

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W THOMAS RD
PHOENIX AZ
85013-4409
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-3153
  • Fax: 602-406-7186
Mailing address:
  • Phone: 713-442-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU7626
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: