Provider Demographics
NPI:1922283506
Name:FAHMI, SALEEMAH YASMEEN (MD)
Entity Type:Individual
Prefix:
First Name:SALEEMAH
Middle Name:YASMEEN
Last Name:FAHMI
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 1:3430 W. WHEATLAND RD
Mailing Address - Street 2:POB I STE#219
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237
Mailing Address - Country:US
Mailing Address - Phone:972-298-7450
Mailing Address - Fax:972-298-2045
Practice Address - Street 1:3430 W WHEATLAND RD
Practice Address - Street 2:POB I STE#219
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3446
Practice Address - Country:US
Practice Address - Phone:972-298-7450
Practice Address - Fax:972-298-2045
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8648207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194543801Medicaid
TX8AU790OtherBC/BS
TX194543801Medicaid