Aifesehi, Paul Edosa
Aifesehi, Paul Edosa is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Aifesehi, Paul Edosa can be contacted via phone (817) 250-3117.Contact Information
Primary practice address
1301 Pennsylvania Ave
Fort Worth TX 76104-2122
Phone: (817) 250-3117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | LT000792 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | P00296 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Texas |
Profile Details
| NPI number | 1285009050 |
|---|---|
| LBN Legal business name | Aifesehi, Paul Edosa |
| Credentials | M.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2015 |
| Last updated | Mar 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285009050 | NPPES |
| Pennsylvania | MEDICAID | 1033559050001 |
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