Individual
BHANU KIRAN PISINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 293-9110
Mailing address
2005 SOUTHLAKE GLEN DR, SOUTHLAKE, TX 76092-1423
(312) 307-9560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036126985
IL
207R00000X
Internal Medicine Physician
Primary
T4575
TX
208M00000X
Hospitalist Physician
036126985
IL
208M00000X
Hospitalist Physician
T4575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126985
—
IL
Enumeration date
08/16/2010
Last updated
03/25/2026
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