Provider Demographics
NPI:1073518197
Name:CHAIM, SOLOMON H (MD)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:H
Last Name:CHAIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:963 STATE HIGHWAY 121 STE 1150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6034
Mailing Address - Country:US
Mailing Address - Phone:469-322-1400
Mailing Address - Fax:469-322-1401
Practice Address - Street 1:963 STATE HIGHWAY 121 STE 1150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6034
Practice Address - Country:US
Practice Address - Phone:469-322-1400
Practice Address - Fax:469-322-1401
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L2837174400000X
TXL2837207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B2244Medicare PIN
TXG84109Medicare UPIN