Individual provider · Type 1 NPI

Ayesha Khadeeruddin

Physician Assistant · Dallas, TX

NPI number 1376416255 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-7000 Map

Mailing address

7726 Temperance Dr
Fayetteville, NC 28314-6359

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician 2080P0202XPA19429 (TX)
Physician Assistant Primary 363A00000XPA19429 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376416255

Ayesha Khadeeruddin's National Provider Identifier is 1376416255, issued on Sep 26, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 15, 2026.