Fareesha Jiwani, PA

NPI #1275108698 in Port Arthur, Texas

Provider Information

NPI Number: 1275108698
Entity Type: Individual
Name: Fareesha Jiwani, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 26, 2021
Last Updated: May 26, 2021

Practice Location

Address: 2555 JIMMY JOHNSON BLVD
City: Port Arthur
State: Texas
ZIP Code: 77640-2007
Phone: (409) 724-7389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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