Healthcare Provider Details

I. General information

NPI: 1508022955
Provider Name (Legal Business Name): POOJA HANDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20207 CHASEWOOD PARK DR STE 300
HOUSTON TX
77070-1442
US

IV. Provider business mailing address

725 HAMLINE ST
GRAND FORKS ND
58203-2819
US

V. Phone/Fax

Practice location:
  • Phone: 832-534-7800
  • Fax: 832-534-7810
Mailing address:
  • Phone: 701-780-6810
  • Fax: 701-780-6860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRL10961
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberS0894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: