Provider Demographics
NPI:1184182347
Name:PERINJELIL, SHINY SAJI (FNP)
Entity Type:Individual
Prefix:
First Name:SHINY
Middle Name:SAJI
Last Name:PERINJELIL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 BENJAMIN FRANKLIN LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2862
Mailing Address - Country:US
Mailing Address - Phone:281-261-8623
Mailing Address - Fax:
Practice Address - Street 1:7810 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4936
Practice Address - Country:US
Practice Address - Phone:713-988-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily