Provider Demographics
NPI:1215993084
Name:ABUSHARR, RAJA (MD)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:
Last Name:ABUSHARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10110 WOODLANDS PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:281-419-6565
Mailing Address - Fax:281-419-0808
Practice Address - Street 1:10110 WOODLANDS PKWY
Practice Address - Street 2:STE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-419-6565
Practice Address - Fax:281-419-0808
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH83671Medicare UPIN
TX8F4194Medicare PIN