Provider Demographics
NPI:1134418957
Name:GHARFEH, MAYA (MD)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:GHARFEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:ALHAJJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:221 JEWELL DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6630
Mailing Address - Country:US
Mailing Address - Phone:254-753-3646
Mailing Address - Fax:
Practice Address - Street 1:221 JEWELL DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6630
Practice Address - Country:US
Practice Address - Phone:254-753-3646
Practice Address - Fax:254-753-1411
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7045193400000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
No193400000XGroupSingle Specialty