Healthcare Provider Details

I. General information

NPI: 1689636565
Provider Name (Legal Business Name): SHUJAUDDIN BHURIWALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27721 STATE HIGHWAY 249 STE 300
TOMBALL TX
77375-6579
US

IV. Provider business mailing address

27721 STATE HIGHWAY 249 STE 300
TOMBALL TX
77375-6579
US

V. Phone/Fax

Practice location:
  • Phone: 281-357-1300
  • Fax: 281-357-1309
Mailing address:
  • Phone: 281-357-1300
  • Fax: 281-357-1309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberK8009
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: