Provider Demographics
NPI:1932863453
Name:SAJI JOSEPH, PA, LLC
Entity Type:Organization
Organization Name:SAJI JOSEPH, PA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-400-2291
Mailing Address - Street 1:2743 SMITH RANCH RD STE 1001
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5217
Mailing Address - Country:US
Mailing Address - Phone:832-400-2291
Mailing Address - Fax:832-400-2292
Practice Address - Street 1:2743 SMITH RANCH RD STE 1001
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5217
Practice Address - Country:US
Practice Address - Phone:832-400-2291
Practice Address - Fax:832-400-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty