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KUSI FORDJOUR M.D PA NPI 1811101348


NPI Information

NPI: 1811101348
Provider Name: KUSI FORDJOUR M.D PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2505 BOLTON BOONE DR
#101
DESOTO, TX
ZIP 75115
Phone: (972) 264-9100
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KUSI FORDJOUR M.D PA is an internal medicine in Desoto, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KUSI FORDJOUR M.D PA NPI is 1811101348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2505 BOLTON BOONE DR
#101
DESOTO, TX
ZIP 75115-013
Phone: (972) 264-9100
Fax: (972) 283-9104

The provider's authorized official is Kusi Fordjour .
The authorized official title is President And Ceo and has the following contact phone number (214) 673-3934.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 5/25/2011.


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
1207R00000XInternal MedicineL0177TEXASYes

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
10098MTOTHERTEXASBCBS
2H10182MEDICARE UPINTEXAS
300647WMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICRAE IND NUMBER
4=========OTHERTEXASEIN
5173380001MEDICAIDTEXAS
68B8366MEDICARE PINTEXAS
7L0177OTHERTEXASLICENCE

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: 5/5/2024

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