Healthcare Provider Details

I. General information

NPI: 1780251389
Provider Name (Legal Business Name): ANUSHKA BHOWAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17600 INTERSTATE 45 S
THE WOODLANDS TX
77384-5148
US

IV. Provider business mailing address

17600 INTERSTATE 45 S
THE WOODLANDS TX
77384-5148
US

V. Phone/Fax

Practice location:
  • Phone: 936-267-5000
  • Fax:
Mailing address:
  • Phone: 936-267-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV3559
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: