Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | L7632 | TX |
Y | 207RH0003X | Hematology & Oncology | L7632 | TX |
NPI | 1306856513 |
---|---|
Provider Name | Dr. Elham Abbasi-Hafshejani |
First Address | Spring, TX 77387-8219 |
Second Address | The Woodlands, TX 77384-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 23/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
57TE | BLUE CROSS BLUE SHIELD TEXAS GROUP (01) | TX |
8CG751 | BCBS (01) | TX |