Provider Demographics
NPI:1780314310
Name:NASEEM, AMINA
Entity type:Individual
Prefix:MS
First Name:AMINA
Middle Name:
Last Name:NASEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5584 N SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-6614
Mailing Address - Country:US
Mailing Address - Phone:214-210-2911
Mailing Address - Fax:214-210-2209
Practice Address - Street 1:5584 N SHILOH RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-6614
Practice Address - Country:US
Practice Address - Phone:214-210-2911
Practice Address - Fax:214-210-2209
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692246213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty