Individual
DR. BASEM AHMED ABDELFATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3453 SAINT FRANCIS AVE STE 100, DALLAS, TX 75228-6079
(214) 983-1787
(214) 292-9415
Mailing address
3453 SAINT FRANCIS AVE STE 100, DALLAS, TX 75228-6079
(915) 241-0997
(214) 292-9415
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-056323
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P9994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568971141
BCBS OF TEXAS
TX
Enumeration date
05/31/2009
Last updated
12/15/2021
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