Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609987437 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick Kola Fadahunsi , MD

General Practice • Desoto, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patrick Fadahunsi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date August 14, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Fadahunsi, MD was a registered General Practice practicing in Desoto, TX. Throughout an active medical career spanning 18 years, Dr. Fadahunsi provided care at the practice location at 1704 N HAMPTON RD until profile deactivation on 2024-08-14.

Practice Location & Contact Primary Location

Practice Address

1704 N Hampton Rd
Ste. 209

Desoto, TX 751158623

Telephone 2143375080
Fax 2143375844
Associated Practice Facility / Clinic
🏢 Elizabeth D.ebolum Facility NPI 1790860344

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Desoto, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Desoto, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX H3034

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kochuparampil Varghese , MD

Psychiatry & Neurology - Psychiatry

NPI 1528075686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 14, 2024

Record deactivated on August 14, 2024

NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 19, 2008

Registered at 1704 N HAMPTON RD, STE. 209, DESOTO, TX 751158623 (Tel: 2143375080)

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Updated Business Mailing Address May 19, 2008

Registered at 1704 N HAMPTON RD STE 209, DESOTO, TX 751158623 (Tel: 2143375080)

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Provider Name / Credentials Updated May 19, 2008

Recorded as PATRICK FADAHUNSI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

General Practice (License #H3034 in TX)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609987437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: May 19, 2008
Deactivation Date: August 14, 2024

Mailing Address

1704 N Hampton Rd Ste 209

Desoto, TX 751158623

Phone: 2143375080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.