Provider Demographics
NPI:1851368898
Name:ALHAJ, GEORGE S (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
Last Name:ALHAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2124 SHADOWLAKE DR
Mailing Address - Street 2:BUILDING O
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7441
Mailing Address - Country:US
Mailing Address - Phone:405-378-0600
Mailing Address - Fax:405-576-3104
Practice Address - Street 1:2124 SHADOWLAKE DR
Practice Address - Street 2:BUILDING O
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7441
Practice Address - Country:US
Practice Address - Phone:405-378-0600
Practice Address - Fax:405-576-3104
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK22845207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H78534Medicare UPIN