Provider Demographics
NPI:1851681456
Name:ASHITEY, SARAH OGBEDEI (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:OGBEDEI
Last Name:ASHITEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:817-912-9050
Mailing Address - Fax:817-912-9060
Practice Address - Street 1:2035 FORT WORTH HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4783
Practice Address - Country:US
Practice Address - Phone:817-912-9050
Practice Address - Fax:817-912-9060
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24648194390200000X
TXQ1081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program