Provider Demographics
NPI:1194811810
Name:ELHAJ, GEORGE EID (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:EID
Last Name:ELHAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 PEAKWOOD DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2921
Mailing Address - Country:US
Mailing Address - Phone:281-440-7878
Mailing Address - Fax:281-440-9316
Practice Address - Street 1:810 PEAKWOOD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2921
Practice Address - Country:US
Practice Address - Phone:281-440-7878
Practice Address - Fax:281-440-9316
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0990207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0342206-01Medicaid
B22505Medicare UPIN
00JM37Medicare PIN