Individual
AYESHA KHADEERUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
7726 TEMPERANCE DR, FAYETTEVILLE, NC 28314-6359
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
PA19429
TX
363A00000X
Physician Assistant
Primary
PA19429
TX
Other
Enumeration date
09/26/2025
Last updated
01/15/2026
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