Mostafa Elsawy, Bassem Morad
Mostafa Elsawy, Bassem Morad is an individual health care provider with primary practice located at 3500 W Wheatland Rd , Dallas TX 75237-3460. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mostafa Elsawy, Bassem Morad can be contacted via phone (214) 947-5400.Contact Information
Primary practice address
3500 W Wheatland Rd
Dallas TX 75237-3460
Phone: (214) 947-5400
Fax: (214) 947-5425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | M4379 | Texas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | M4379 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M4379 | Texas |
Profile Details
| NPI number | 1629016159 |
|---|---|
| LBN Legal business name | Mostafa Elsawy, Bassem Morad |
| Credentials | MD, CMD, AGSF, FAAFP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Mar 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629016159 | NPPES |
| Indiana | MEDICAID | 200453380 | |
| Indiana | Other | 75-2966610 | |
| Indiana | MEDICAID | 182868301 | |
| Indiana | MEDICAID | 156122701 | |
| Indiana | MEDICAID | 156122702 |
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