Individual
DR. BHOOSHAN MANUJA PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53446
CT
207R00000X
Internal Medicine Physician
Primary
R5623
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396346403
—
TX
05
—
396346404
—
TX
05
—
396346405
—
TX
01
—
8MS874
BCBS
TX
Enumeration date
08/07/2012
Last updated
03/11/2026
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