Individual
DR. OMEED KHODAPARAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301084282
MI
207L00000X
Anesthesiology Physician
Primary
M6702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187727602
—
TX
05
—
187727603
—
TX
05
—
187727604
—
TX
01
—
8BR516
BCBS
TX
01
—
8EH380
BCBS TX
TX
01
—
P00679429
RAILROAD
TX
Enumeration date
02/07/2007
Last updated
09/14/2022
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