Provider Demographics
NPI:1932382249
Name:SALEEMAH Y. FAHMI, M.D., P.A.
Entity Type:Organization
Organization Name:SALEEMAH Y. FAHMI, M.D., P.A.
Other - Org Name:ENDOCRINOLOGY ASSOCIATES OF SW DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEEMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-298-7450
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:75237-3446
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8648207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AU790OtherBC/BS
TX8AU790OtherBC/BS