Ayesha Khadeeruddin, is a
Physician Assistant physician based in Dallas, Texas. Ayesha Khadeeruddin is licensed to practice in Texas (license number PA19429) and her current practice location is 1935 Medical District Dr, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 456-7000.
NPI number for Ayesha Khadeeruddin is 1376416255 and her current mailing address is 7726 Temperance Dr, Fayetteville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376416255.
Physician's Profile
| Full Name | Ayesha Khadeeruddin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1935 Medical District Dr, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376416255
- Provider Enumeration Date: 09/26/2025
- Last Update Date: 01/15/2026
Medical Identifiers
Medical identifiers for Ayesha Khadeeruddin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376416255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | PA19429 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA19429 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ayesha Khadeeruddin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ayesha Khadeeruddin,
7726 Temperance Dr,
Fayetteville, NC 28314-6359
Ph: () - | Ayesha Khadeeruddin,
1935 Medical District Dr,
Dallas, TX 75235-7701
Ph: (214) 456-7000 |
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