Provider Demographics
NPI:1932070612
Name:AJ HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AJ HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PANISSARA
Authorized Official - Middle Name:NATALIE
Authorized Official - Last Name:TEERAANUKUL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:725-250-8697
Mailing Address - Street 1:8581 GENESEE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6805
Mailing Address - Country:US
Mailing Address - Phone:702-825-5553
Mailing Address - Fax:702-825-5552
Practice Address - Street 1:8905 W POST RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2429
Practice Address - Country:US
Practice Address - Phone:702-825-5553
Practice Address - Fax:702-825-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty