| Doctor Name: | RAJI ANUP |
| NPI Number: | 1083905616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 714607 |
| Business Practice Address: | 801 S Highway 78 # A #207 Wylie, TX - 750984006 |
| Business Phone Number: | 9724422900 |
| Business Fax Number: | 9724422799 |
| Mailing Address: | 801 S Highway 78 # A, #207 WYLIE |
| State: | TX |
| Postal Code: | 750984006 |
| Phone Number: | 9724422900 |
| Fax Number: | 9724422799 |
| NPI Enumeration Date: | 04/30/2011 |
| NPI Last Update Date: | 10/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 714607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |