Individual
BABAK TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192323704
—
TX
01
—
8EH545
BCBS
TX
01
—
P01446030
RR
TX
Enumeration date
05/01/2007
Last updated
03/11/2022
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