Provider Demographics
NPI:1386673564
Name:MERHAV, HADAR J (MD)
Entity Type:Individual
Prefix:
First Name:HADAR
Middle Name:J
Last Name:MERHAV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6411 FANNIN ST
Mailing Address - Street 2:SUITE R7.21
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-704-6770
Mailing Address - Fax:713-704-7041
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:713-500-7410
Practice Address - Fax:713-500-0531
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8435204F00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W5620OtherBCBS
MS01336759OtherMISSISSIPPI MEDICAID
TX8J1279Medicare PIN
TX8W5620OtherBCBS