Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FANGNAN ELISHA NDAM, M.D.
DeactivatedAnatomic Pathology · FORT WORTH, TX
This NPI has been deactivated.
The record was deactivated on November 4, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1780145292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2019 (0.60655737704918 yrs)
- Last Updated
- Jun 4, 2025
- Deactivated
- Nov 4, 2019
- License
-
85218-20 (WI)
Practice Information
- Address
-
200 FELIKS GWOZDZ PLFORT WORTH, TX, 761044919Browse TX providers · Browse ZIP 76104
- Phone
- 8179205700
- Fax
- 8179205713
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Other Anatomic Pathology Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| VANESSA NELSON | — | 1043075708 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.