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NPI Code Detail

MEDICARE: MAYA KRISEMAN MD

MEDICARE: MAYA KRISEMAN 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
1207VE0102XReproductive Endocrinology PhysicianQ4168TX
2207V00000XObstetrics & Gynecology PhysicianBP10039751TX

General Provider Information

NPI Number : 1376896472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA KRISEMAN MD
Provider Business Mailing Address
First Line : PO BOX 631607
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7900 FANNIN ST STE 2700
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2948
Country : US
Telephone Number : 713-730-2229
Fax Number : 713-796-9898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 03/21/2025

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Directions to “ MAYA KRISEMAN MD” Practice Location

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