Provider Demographics
NPI:1568200160
Name:KUDSIA, SEEMA A (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:A
Last Name:KUDSIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1111 NORTHPOINT DRIVE
Mailing Address - Street 2:ATTN: CREDENTILAING DEPARTMENT
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019
Mailing Address - Country:US
Mailing Address - Phone:615-562-9689
Mailing Address - Fax:972-966-7899
Practice Address - Street 1:1111 NORTHPOINT DR
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3831
Practice Address - Country:US
Practice Address - Phone:615-562-9689
Practice Address - Fax:972-966-7899
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12345207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology