Provider Demographics
NPI:1477847028
Name:JOSEPH, JAY ARUN RAJIV (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:ARUN RAJIV
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:931 RIDGEVIEW DR
Mailing Address - Street 2:STE 1100
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:469-421-2100
Mailing Address - Fax:972-421-8224
Practice Address - Street 1:931 RIDGEVIEW DR STE 1100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:469-421-2100
Practice Address - Fax:972-421-8224
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR5748207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology