Provider Demographics
NPI:1700292364
Name:AHSAN, AREEBA (DO)
Entity Type:Individual
Prefix:
First Name:AREEBA
Middle Name:
Last Name:AHSAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:AREEBA
Other - Middle Name:FATIMA
Other - Last Name:AHSAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2509 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8266
Mailing Address - Country:US
Mailing Address - Phone:516-220-5787
Mailing Address - Fax:
Practice Address - Street 1:5106 N PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2795
Practice Address - Country:US
Practice Address - Phone:516-220-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-10071207Q00000X
TXT8458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine