Provider Demographics
NPI:1639743834
Name:AMIR, RIJA (PA)
Entity Type:Individual
Prefix:
First Name:RIJA
Middle Name:
Last Name:AMIR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:11918 GARDNER PARK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7327
Mailing Address - Country:US
Mailing Address - Phone:713-464-7555
Mailing Address - Fax:
Practice Address - Street 1:1610 W BAKER RD STE C
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2279
Practice Address - Country:US
Practice Address - Phone:281-422-7179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant