Provider Demographics
NPI:1083905616
Name:ANUP, RAJI (NP)
Entity Type:Individual
Prefix:
First Name:RAJI
Middle Name:
Last Name:ANUP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RAJI
Other - Middle Name:K
Other - Last Name:KOSHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 HEBRON PKWY STE 1202
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5146
Mailing Address - Country:US
Mailing Address - Phone:142-488-0071
Mailing Address - Fax:
Practice Address - Street 1:860 HEBRON PKWY STE 1202
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5146
Practice Address - Country:US
Practice Address - Phone:214-488-0071
Practice Address - Fax:949-225-1102
Is Sole Proprietor?:No
Enumeration Date:2011-04-30
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily