Basic Information
| Provider Information | |||||||||
| NPI: | 1467988642 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SITABKHAN | ||||||||
| FirstName: | AMREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5310 HARVEST HILL RD | ||||||||
| Address2: | STE 290 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752305826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144200650 | ||||||||
| FaxNumber: | 2147360512 | ||||||||
| Practice Location | |||||||||
| Address1: | 12740 HILLCREST RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9723869600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2017 | ||||||||
| LastUpdateDate: | 08/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | T0940 | TX | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.