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1356952493

NPI Code Detail

MEDICARE: CHRISTIAN AKEM DIMALA MD

MEDICARE: CHRISTIAN AKEM DIMALA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MT219746	PA
2	207RC0000X	Cardiovascular Disease Physician	BP10084447	TX
3	207RI0011X	Interventional Cardiology Physician	V4634	TX

General Provider Information

NPI Number	:	1356952493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN AKEM DIMALA MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	121-464-8311
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	121-464-8311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	06/01/2026

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Directions to “ CHRISTIAN AKEM DIMALA MD” Practice Location

Language	Start Address	Practice Location

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