Provider Demographics
NPI:1144277294
Name:AHUJA, TEJINDER SINGH (MD)
Entity type:Individual
Prefix:
First Name:TEJINDER
Middle Name:SINGH
Last Name:AHUJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 MOSS GREEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3600
Mailing Address - Country:US
Mailing Address - Phone:281-338-0700
Mailing Address - Fax:281-338-0722
Practice Address - Street 1:200 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4235
Practice Address - Country:US
Practice Address - Phone:281-338-0700
Practice Address - Fax:281-338-0722
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1334207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U4420OtherBLUE CROSS BLUE SHIELD
TX103466204Medicaid
G02004Medicare UPIN
TX103466204Medicaid