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Dr. Paul Edosa Aifesehi, MD,MPH
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1285009050

Paul Edosa Aifesehi is a Student in an Organized Health Care Education/Training Program based in Hershey, TX. Paul Edosa Aifesehi practices in Fort Worth, TX and has the professional credentials of MD,MPH. The NPI Number for Paul Edosa Aifesehi is 1285009050 and holds a License No. LT000792 (Texas).

The current practice location address for Paul Edosa Aifesehi is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-3117.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 17033-0858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285009050
Provider Name
Paul Edosa Aifesehi
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Male
Address
1301 Pennsylvania Ave, Fort Worth, TX, 17033-0858
Phone Number
817-250-3117
Fax Number
Provider Enumeration Date
12/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033559050001 05 PA
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3117
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3117
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
P00296 (New York)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LT000792 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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