MEDICARE: HALIMA SAADIA JANJUA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0210X	Pediatric Nephrology Physician	35.096011	OH

General Provider Information

NPI Number	:	1417168766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIMA SAADIA JANJUA M.D.

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD STOP 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9063
Country	:	US
Telephone Number	:	214-648-3438
Fax Number	:	214-648-2034

Provider Business Practice Location Address
First Line	:	7609 PRESTON RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3415
Country	:	US
Telephone Number	:	469-497-2501
Fax Number	:	469-497-2518

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	01/19/2022

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