Provider Demographics
NPI:1568512226
Name:ELCHAHAL, SAMIH (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIH
Middle Name:
Last Name:ELCHAHAL
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 1:2855 GRAMERCY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1697
Mailing Address - Country:US
Mailing Address - Phone:136-686-8287
Mailing Address - Fax:
Practice Address - Street 1:590 CHIMNEY ROCK RD
Practice Address - Street 2:HOUSTON EYE ASSOCIATES
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:713-782-4406
Practice Address - Fax:713-782-2554
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1296207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286823401Medicaid