Individual
AHMAD KABALAN MASHMOUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2735
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5007
TX
2080P0210X
Pediatric Nephrology Physician
R5007
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10053279
TX
Other
Enumeration date
05/03/2015
Last updated
10/10/2024
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