Provider Demographics
NPI:1386175891
Name:CEESAY, LAMIN YUSUPHA (MD, MBA)
Entity type:Individual
Prefix:
First Name:LAMIN
Middle Name:YUSUPHA
Last Name:CEESAY
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 I 30 E STE 120
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-8848
Mailing Address - Country:US
Mailing Address - Phone:698-580-0338
Mailing Address - Fax:903-453-2842
Practice Address - Street 1:5000 E INTERSTATE 30 STE 130
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75189-8848
Practice Address - Country:US
Practice Address - Phone:469-540-2482
Practice Address - Fax:903-453-2842
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD219118207Q00000X
TXU4477207Q00000X
WAMD60970595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine