Provider Demographics
NPI:1043221278
Name:JANJUA, AAMER (MD)
Entity Type:Individual
Prefix:DR
First Name:AAMER
Middle Name:
Last Name:JANJUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 ELLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-4045
Mailing Address - Country:US
Mailing Address - Phone:409-504-9972
Mailing Address - Fax:409-861-4949
Practice Address - Street 1:6345 ELLINGTON LN
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-4045
Practice Address - Country:US
Practice Address - Phone:409-504-9972
Practice Address - Fax:409-861-4949
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M6286OtherBCBS
TXG52295Medicare UPIN