Provider Demographics
NPI:1831364348
Name:NIJJAR, JUGNU BIBA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JUGNU
Middle Name:BIBA
Last Name:NIJJAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6651 MAIN ST
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2351
Mailing Address - Country:US
Mailing Address - Phone:832-826-7453
Mailing Address - Fax:832-825-9348
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-3537
Practice Address - Fax:713-790-0108
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233487207V00000X
MI4301099353207V00000X
PAMD449720207V00000X
TXR0918207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102859765 0001Medicaid
NJ0373044Medicaid
NJ0373044Medicaid