SASAN MIRFAKHRAEE (NPI# 1013063627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013063627 |
| Entity Type | Individual |
| Full Name | SASAN MIRFAKHRAEE |
| Credential | MD |
| Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390-7201 |
| Mailing Address |
P.o. Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146452800 |
| Practice Fax Number | 2146452808 |
| Mailing Telephone | 2146452800 |
| Mailing Fax Number | 2146452808 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | N3181 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
N3181 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TL-1957 | CO | Student, Health Care |
| Street Address |
5323 HARRY HINES BOULEVARD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
| 1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
| 1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
| 1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
| 1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
| 1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
| 1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
| 1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
| 1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
| 1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428968 | Mumtaheena Miah | Internal Medicine | 10260 N Central Expy Ste 100n, Dallas, TX 75231-3437 | 2014-04-30 |
| 1871910505 | Thrive LLC | Internal Medicine | 4020 Oak Lawn Ave, Dallas, TX 75219-3134 | 2014-03-19 |
| 1932542776 | Rebecca Ann Herbst | Internal Medicine | 3417 Gaston Ave Ste 980, Dallas, TX 75246-2022 | 2013-04-11 |
| 1093072548 | Li Song | Internal Medicine | 5939 Harry Hines Blvd Suit 925, Dallas, TX 75390 | 2012-04-20 |
| 1023266459 | Stanley Feld | Internal Medicine | 7310 Hillwood Ln, Dallas, TX 75248-5240 | 2008-08-27 |
| 1538320072 | Asra Kermani Md, Pa | Internal Medicine | 6810 Lakeshore Drive, Dallas, TX 75214 | 2008-06-18 |
| 1073707667 | Polina Kaloyanova | Internal Medicine | 7777 Forest Ln Ste C206, Dallas, TX 75230-6834 | 2007-08-28 |
| 1245432582 | Steve Vincent Estoy Fordan | Internal Medicine | 1018 N Zang Blvd Ste 110, Dallas, TX 75208-4123 | 2007-05-31 |
| 1194820266 | Asra Kermani | Internal Medicine | 8611 Hillcrest Ave Ste 300, Dallas, TX 75225 | 2006-09-14 |
| 1689628257 | Audrey Bettina Miklius | Internal Medicine | 10260 N Central Expy, Suite 100n, Dallas, TX 75231-3437 | 2006-05-19 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.