Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | L8435 | TX |
N | 208200000X | Surgeon | L8435 | TX |
N | 208600000X | Surgeon | L8435 | TX |
NPI | 1386673564 |
---|---|
Provider Name | Hadar J Merhav |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01336759 | MISSISSIPPI MEDICAID (01) | MS |
8W5620 | BCBS (01) | TX |
F42367 | (02) | TX |