Individual
AFSHA KAISANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4927 LAKE RIDGE PKWY STE 100, GRAND PRAIRIE, TX 75052
(469) 506-1671
(833) 633-0652
Mailing address
4927 LAKE RIDGE PKWY, STE 100, GRAND PRAIRIE, TX 75052
(469) 506-1671
(833) 933-0652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S3049
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2016
Last updated
06/14/2022
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