Provider Demographics
NPI:1922109651
Name:AL SHALCHI, NAJAH (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJAH
Middle Name:
Last Name:AL SHALCHI
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 1:7712 ECKHERT RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3008
Mailing Address - Country:US
Mailing Address - Phone:210-520-8060
Mailing Address - Fax:210-520-0696
Practice Address - Street 1:7712 ECKHERT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3008
Practice Address - Country:US
Practice Address - Phone:210-520-8060
Practice Address - Fax:210-520-0696
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG 1809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP084820JMedicaid
B20827Medicare UPIN
TX8F6102Medicare PIN