Ali Ezzeddine, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10092780 Issued in TX

Practice address

5323 Harry Hines Boulevard, Ut Southwestern Medical Cen
Dallas, TX 75390

Phone

(214) 648-3433

NPI assigned

May 2, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1619766912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MEDICAL DISTRICT DRIVE",
            "address_2": "APT 3014",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "682-443-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BOULEVARD, UT SOUTHWESTERN MEDICAL CEN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-648-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZEDDINE",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10092780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebuka Callistus Eziama
• Alexia Ezika
• Mirian Amarachi Ezikeoha, CNP
• Patricia Ezzard, FNP
• Fatemeh Ezzati, M.D.
• F & T Medical Services Inc
• F & T Respiratory Care LLC
• F. GM Transportation LLC
• F&F Devoted Home Healthservices Inc.
• Kosunarty Fa, M.D.

• Student in an Organized Health Care Education/Training Program in Dallas, TX
• Providers in Dallas, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.