Individual
FARIHA AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P1722
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312434901
—
TX
05
—
312434902
—
TX
01
—
8DL523
BLUE CROSS BLUE SHIELD
TX
01
—
P01187634
RAILROAD MEDICARE
TX
Enumeration date
04/13/2008
Last updated
07/01/2022
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