Provider Demographics
NPI:1740814532
Name:NJP PLLC
Entity type:Organization
Organization Name:NJP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAM
Authorized Official - Middle Name:REHMAN
Authorized Official - Last Name:THAROO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-923-2300
Mailing Address - Street 1:2600 GRAIL MAIDEN CT
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5646
Mailing Address - Country:US
Mailing Address - Phone:407-920-2300
Mailing Address - Fax:
Practice Address - Street 1:1790 KING ARTHUR BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2041
Practice Address - Country:US
Practice Address - Phone:407-920-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care