Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | P7982 | TX |
NPI | 1033309513 |
---|---|
Provider Name | Ajanta Sen |
First Address | Dallas, TX 75380-2772 |
Second Address | Bedford, TX 76022-6919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2007 |
Last Update Date | 21/09/2016 |