1164603122 NPI number — MAHA ALCHAER MD

Table of content: MAHA ALCHAER MD (NPI 1164603122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164603122 NPI number — MAHA ALCHAER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALCHAER
Provider First Name:
MAHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SABAGH ALCHAER
Provider Other First Name:
MAHA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1164603122
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
421 W CHEW ST
Provider Second Line Business Mailing Address:
PHYSICIAN ACCOUNTS
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18102-3406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-776-5100
Provider Business Mailing Address Fax Number:
610-663-3113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3570 HAMILTON BLVD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-4512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-7481
Provider Business Practice Location Address Fax Number:
610-433-3991
Provider Enumeration Date:
11/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD432635 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50073448 . This is a "CBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2864847000 . This is a "IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1020431350001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HIGHMARK BLUE SHIELD . This is a "1989708" identifier . This identifiers is of the category "OTHER".




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