Provider Demographics
NPI:1568035087
Name:ASISH BIJU, FNU (PHARMD)
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:ASISH BIJU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 ALMEDA RD APT 708
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2150
Mailing Address - Country:US
Mailing Address - Phone:224-427-0338
Mailing Address - Fax:
Practice Address - Street 1:4849 CALHOUN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-2043
Practice Address - Country:US
Practice Address - Phone:832-842-8367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist