Individual
AJIT KUMAR BISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446536
PA
207R00000X
Internal Medicine Physician
P5260
TX
207RH0003X
Hematology & Oncology Physician
Primary
P5260
TX
208M00000X
Hospitalist Physician
2012-01498
NC
208M00000X
Hospitalist Physician
P5260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340056605
—
TX
01
—
340056606
C SHCN
TX
Enumeration date
07/02/2009
Last updated
07/20/2021
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