Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760686364 Individual Practitioner Female Practitioner

Dr. Kanika Alake Bowen-Jallow , MD

Surgery - Pediatric Surgery • Prosper, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kanika Bowen-Jallow, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Prosper, TX. Practice services are available at 4200 W UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 W University Dr

Prosper, TX 750789805

Telephone 6823034200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Prosper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Prosper, TX (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-13
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License TX N3512

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Practice Locations

301 University Blvd, 3.220

Galveston, TX 775555302

Phone: 4097725556

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Kari Milch , PA-C

Physician Assistant

NPI 1083509715

Physician Assistant (Certified)

Allison Sullivan , APRN, FNP-C

Nurse Practitioner - Family

NPI 1124740840

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. John Robertson , MD

Pediatrics - Pediatric Pulmonology

NPI 1184808933

Doctor of Medicine (M.D.)

Dr. Laquatre Rhodes , DO, MS

Pediatrics - Pediatric Gastroenterology

NPI 1194169961

Doctor of Osteopathic Medicine (D.O.), Master of Science

Carly Lewis , MS, RD, LD

Dietitian, Registered - Nutrition, Pediatric

NPI 1215484175

Master of Science, Registered Dietitian, Licensed Dietitian

Dr. Abdul Siddiqui , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1225203078

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 25, 2021

Registered at 4200 W UNIVERSITY DR, PROSPER, TX 750789805 (Tel: 6823034200)

📍
Updated Business Mailing Address March 25, 2021

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828856483)

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 301 UNIVERSITY BLVD, 3.220, GALVESTON, TX 775555302 (Tel: 4097725556)

📍
Updated Business Mailing Address December 08, 2016

Registered at 301 UNIVERSITY BLVD, 3.220, GALVESTON, TX 775555302 (Tel: 4097725666)

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as KANIKA BOWEN-JALLOW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Surgery (License #N3512 in TX)

🟢
Initial NPI Registration & Enumeration June 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760686364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: April 13, 2021
Sole Proprietor: No

Mailing Address

Po Box 733784

Dallas, TX 753733784

Phone: 6828856483

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.