National Provider Identifier
Ayesha Tasaddaq, MD
Ayesha Tasaddaq, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Dansville, NY and a listed phone number of (585) 335-6041.
Profile Overview
- NPI
- 1972831782
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- December 07, 2009
- Last Updated
- March 01, 2012
Practice Location
- 60 Red Jacket St
- Suite 1
- Dansville, NY 14437-0339
Phone: (585) 335-6041
Mailing Address
- PO Box 601
- 10869 Rte 36 South
- Dansville, NY 14437-0601
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1972831782
- Entity Type
- Individual
- Last Name
- Tasaddaq
- First Name
- Ayesha
- Credential
- MD
- Provider Other Last Name
- Riasat
- Provider Other First Name
- Ayesha
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 601
- Mailing Address Line 2
- 10869 Rte 36 South
- Mailing City
- Dansville
- Mailing State
- NY
- Mailing ZIP Code
- 14437-0601
- Mailing Country
- US
- Mailing Phone
- (585) 335-3416
- Mailing Fax
- (585) 335-8695
- Practice Street Address
- 60 Red Jacket St
- Practice Address Line 2
- Suite 1
- Practice City
- Dansville
- Practice State
- NY
- Practice ZIP Code
- 14437-0339
- Practice Country
- US
- Practice Phone
- (585) 335-6041
- Practice Fax
- (585) 335-6764
- Enumeration Date
- December 07, 2009
- Last Updated
- March 01, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 03252595 (NY)