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Organization

AIMSTX LLC

Active
Parent organization
AIMS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AIMS, LLC
Authorized official
DR. KASHIF A JANJUA MD (CEO)
(574) 208-9114
Entity
Organization

Contact information

Practice address
16850 BUCCANEER LN, HOUSTON, TX 77058-2507
(574) 277-2630
(574) 747-8652
Mailing address
111 E 3RD ST, PO BOX 768, MISHAWAKA, IN 46546
(219) 309-9388
(574) 747-8652

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01074952A
INDIANA LICENSE OF CEO
IN
Enumeration date
05/21/2020
Last updated
02/23/2021
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