Provider Demographics
NPI:1043580350
Name:HORIZONZ LLC
Entity Type:Organization
Organization Name:HORIZONZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:IHTESHAM
Authorized Official - Last Name:JANJUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-743-5190
Mailing Address - Street 1:4 SOUTH 4TH ST. 2ND FLR.
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602
Mailing Address - Country:US
Mailing Address - Phone:610-743-5190
Mailing Address - Fax:610-743-5189
Practice Address - Street 1:354 PENN ST.
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602
Practice Address - Country:US
Practice Address - Phone:610-743-5190
Practice Address - Fax:610-743-5189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X, 261Q00000X
PAMD062987L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017593790007Medicaid
PA0017593790007Medicaid