Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 254966 | NY |
N | 111NI0900X | Internist | 254966 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | N7933 | TX |
NPI | 1033359153 |
---|---|
Provider Name | Abhishek Haresh Kansara |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 30/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03155117 | (05) | NY |
202569405 | (05) | TX |
328228701 | (05) | TX |
328228702 | (05) | TX |
328228703 | (05) | TX |
8DY165 | BLUE CROSS BLUE SHIELD (01) | TX |
8EE300 | BLUE CROSS BLUE SHIELD (01) | TX |