Provider Demographics
NPI:1023008190
Name:AL-LAHIQ, MAHA KHALIFA (MD)
Entity type:Individual
Prefix:
First Name:MAHA
Middle Name:KHALIFA
Last Name:AL-LAHIQ
Suffix:
Gender:F
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:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-724-1860
Mailing Address - Fax:281-724-1861
Practice Address - Street 1:500 N KOBAYASHI
Practice Address - Street 2:SUITE A
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4820
Practice Address - Country:US
Practice Address - Phone:281-724-1860
Practice Address - Fax:281-724-1861
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0594207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2094296OtherAETNA
TX100606603Medicaid
TXP00713675OtherRRMEDICARE
TX1777819OtherUNITED HEALTH CARE
TX8U1166OtherBCBSTX
TX2094296OtherAETNA
TXG-04180Medicare UPIN