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NPI Code Detail

MEDICARE: SITA BUSHAN MD

MEDICARE: SITA BUSHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program191483NC
2207RH0003XHematology & Oncology PhysicianR1506TX

General Provider Information

NPI Number : 1841635620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SITA BUSHAN MD
Provider Business Mailing Address
First Line : 7200 CAMBRIDGE STREET
Second Line : BCM660
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 713-798-1963
Fax Number :
Provider Business Practice Location Address
First Line : 2525A HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4124
Country : US
Telephone Number : 713-526-4243
Fax Number : 713-440-1190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2013
Last Update Date : 11/03/2022

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