Provider Demographics
NPI:1629188073
Name:KOREISHI, AALEYA FARUK (MD)
Entity Type:Individual
Prefix:
First Name:AALEYA
Middle Name:FARUK
Last Name:KOREISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AALEYA
Other - Middle Name:FARUK
Other - Last Name:QURESHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:801 ROAD TO SIX FLAGS W STE 131
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2600
Mailing Address - Country:US
Mailing Address - Phone:817-987-1248
Mailing Address - Fax:
Practice Address - Street 1:801 ROAD TO SIX FLAGS W STE 131
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2600
Practice Address - Country:US
Practice Address - Phone:817-987-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9427207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I14644Medicare UPIN
NC2060961Medicare PIN