Provider Demographics
NPI:1699113910
Name:NOWBAKHT, CIMA (DO)
Entity type:Individual
Prefix:DR
First Name:CIMA
Middle Name:
Last Name:NOWBAKHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 FOREST LANE
Mailing Address - Street 2:SUITE B412
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-661-5550
Mailing Address - Fax:972-991-3258
Practice Address - Street 1:777 FOREST LANE
Practice Address - Street 2:SUITE B412
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-661-5550
Practice Address - Fax:972-991-3258
Is Sole Proprietor?:No
Enumeration Date:2013-06-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7548207RI0200X
TXBP10046750390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program