Healthcare Provider Details

I. General information

NPI: 1992991335
Provider Name (Legal Business Name): SARAH NASEEM AMARASINGHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH NASEEM MATTHEWS

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 UPTOWN BLVD STE 120
CEDAR HILL TX
75104-3537
US

IV. Provider business mailing address

2527 AMELIA ST
DALLAS TX
75235-8222
US

V. Phone/Fax

Practice location:
  • Phone: 972-293-6300
  • Fax: 972-293-6301
Mailing address:
  • Phone: 972-293-6300
  • Fax: 972-293-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM6498
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberM6498
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: