Provider Demographics
NPI:1275505521
Name:MAJMUNDAR, NISHITH (MD)
Entity Type:Individual
Prefix:MR
First Name:NISHITH
Middle Name:
Last Name:MAJMUNDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11920 ASTORIA BLVD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6097
Mailing Address - Country:US
Mailing Address - Phone:281-464-3757
Mailing Address - Fax:281-464-3758
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6097
Practice Address - Country:US
Practice Address - Phone:281-464-3757
Practice Address - Fax:281-464-3758
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL58172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158969901Medicaid
TXG91371Medicare UPIN