Individual
ABHISHEK HARESH KANSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030
(713) 441-4451
Mailing address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-4451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254966
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N7933
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03155117
—
NY
05
—
202569405
—
TX
05
—
328228701
—
TX
05
—
328228702
—
TX
05
—
328228703
—
TX
01
—
8DY165
BLUE CROSS BLUE SHIELD
TX
01
—
8EE300
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/02/2009
Last updated
10/30/2018
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