NPI 1154857159 · live from the CMS NPI Registry
Sayeeda Ahsanuddin, MD
Dermatology in Fort Worth, TX. National Provider Identifier 1154857159, active.
NPI record
| NPI | 1154857159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4949 Golden Triangle Blvd Ste 611, Fort Worth, TX 76244 |
| Practice phone | 817-898-2188 |
| Mailing address | 743 E Hill St, Keller, TX 76248 |
| Enumerated | May 11, 2017 |
| Last updated | April 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 35.141904 (OH) |
| Dermatology primary | 207N00000X | V3545 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.