Individual
DR. MOHAMMED ASHFAQ H. ASSADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(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
H9594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050086138
RAILROAD
TX
05
—
150270001
—
TX
01
—
150270002
MEDICAID CSHCN
TX
05
—
150270003
—
TX
05
—
150270004
—
TX
05
—
165487302
—
TX
01
—
8EH079
BCBS
TX
01
—
8F3574
BCBS
TX
Enumeration date
12/28/2005
Last updated
05/29/2018
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