Individual
ALLAADDIN MOLLABASHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12230 COIT RD, STE 100, DALLAS, TX 75251-2322
(214) 252-7020
(214) 252-7025
Mailing address
PO BOX 650500, DALLAS, TX 75265-0500
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L9815
TX
207XS0106X
Orthopaedic Hand Surgery Physician
L9815
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
L9815
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
L9815
TX
207XX0801X
Orthopaedic Trauma Physician
L9815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169089301
—
TX
01
—
8G8103
BCBS
TX
Enumeration date
10/26/2005
Last updated
08/17/2023
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