Individual
FAKHRUDIN AASEEMAH MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
940 W STACY RD, ALLEN, TX 75013-5214
(214) 547-0700
(972) 992-2428
Mailing address
7505 W 72ND ST, BRIDGEVIEW, IL 60455-1196
(773) 710-8081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036144546
IL
207Q00000X
Family Medicine Physician
Primary
R9900
TX
Other
Enumeration date
06/09/2015
Last updated
04/28/2020
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