Rukshan Azhar Mdpa

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J7894 Issued in TX

Legal business name

RUKSHAN AZHAR MDPA

Practice address

855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073

Phone

(713) 885-5070

NPI assigned

Nov 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rukshan AzharNPI 1225127392

Title

Owner

Phone

(281) 428-7997

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rukshan Azhar, M.D

  • Psychiatry Physician
  • Baytown, TX
  • NPI 1225127392

  Child & Adolescent Psychiatry

  Medicare reassignment NPD Authorized official
• Nisha Annie Azhar, M.D.

  • Psychiatry Physician
  • Baytown, TX
  • NPI 1275196073

  Child & Adolescent Psychiatry

  NPD
• Marilyn Kay Shroyer, LPC

  • Professional Counselor
  • Baytown, TX
  • NPI 1699889691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1154623072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213924",
            "telephone_number": "713-885-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROLLINGBROOK DR STE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214073",
            "telephone_number": "713-885-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUKSHAN AZHAR MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "AZHAR",
        "authorized_official_first_name": "RUKSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-428-7997"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J7894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113400902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinara Rose, M.D.
• Jordan Ruby, RBT
• Anastasiia Rudkovskaia, MD
• Brittany Ruivivar, MS, SLP
• Joanna Nicole Ruiz, LPC
• Joshua A Russell, MD
• Kailey Russell
• Mia Russell
• Lina C Ryan, OTR/L
• Dealla Saab, D.D.S.

• Child & Adolescent Psychiatry Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.