DR. AISHA DALILA WHITE M.D. NPI 1255589180

NPI Information

NPI: 1255589180
Provider Name: DR. AISHA DALILA WHITE, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
6611 RIVER PLACE BLVD STE 201
AUSTIN, TX
ZIP 78730
Phone: (512) 324-8320
Get Directions

DR. Aisha Dalila White, M.D. is a plastic and reconstructive surgery surgery in Austin, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Aisha Dalila White, M.D. NPI is 1255589180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6611 RIVER PLACE BLVD STE 201
AUSTIN, TX
ZIP 78730-167
Phone: (512) 324-8320
Fax: (512) 324-8323

The NPI 1255589180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 7/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		N4200	TEXAS	No
2	208200000X	Plastic Surgery		N4200	TEXAS	No
3	2086S0122X	Surgery	Plastic and Reconstructive Surgery	N4200	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036116290	MEDICAID	ILLINOIS
2	3932056	OTHER	ILLINOIS	BCBS
3	721089	OTHER	ILLINOIS	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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