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Contact Information

BASSEM M MOSTAFA ELSAWY, MD, CMD, AGSF, FAAFP
3500 W WHEATLAND RD
DALLAS, TX75237-3460
 Phone: 214-947-5400
 Fax: 214-947-5425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BASSEM M MOSTAFA ELSAWY · (Male)

NPI # 1629016159
Status Active
Credentials MD, CMD, AGSF, FAAFP
Entity Individual
Enumeration date 06/04/2006
Last updated 03/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M4379
  • IN Medicaid 200453380
  • TX Medicaid 156122701
  • TX Medicaid 156122702
  • TX Medicaid 182868301
  • TX Other 75-2966610 FEIN
Hospital affiliation(s)
  • METHODIST CHARLTON MEDICAL CENTER - (Acute Care)
    3500 W WHEATLAND ROAD
    DALLAS, TX 75237
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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