Provider Demographics
NPI:1477062016
Name:AASIA JANJUA MD P.A.
Entity Type:Organization
Organization Name:AASIA JANJUA MD P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:ZAMAN
Authorized Official - Last Name:KAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-751-0698
Mailing Address - Street 1:PO BOX 92459
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0104
Mailing Address - Country:US
Mailing Address - Phone:610-751-0698
Mailing Address - Fax:877-935-8231
Practice Address - Street 1:925 LA SALLE LN
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-1436
Practice Address - Country:US
Practice Address - Phone:484-274-2138
Practice Address - Fax:877-935-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8796207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty