Healthcare Provider Details

I. General information

NPI: 1851336341
Provider Name (Legal Business Name): THAR YAHYA YASIR ELBAAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THAR EL BAAGE MD

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 JOE BATTLE BLVD
EL PASO TX
79936-0962
US

IV. Provider business mailing address

1840 JOE BATTLE BLVD
EL PASO TX
79936-0962
US

V. Phone/Fax

Practice location:
  • Phone: 915-249-4344
  • Fax: 915-307-2765
Mailing address:
  • Phone: 915-249-4344
  • Fax: 915-307-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2015-02219
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-12484
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301078514
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME119419
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number49634
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number248240
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number0101245193
License Number StateVA
# 8
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number53503
License Number StateTN
# 9
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD67117
License Number StateMD
# 10
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number248240
License Number StateNY
# 11
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number81964
License Number StateSC
# 12
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number327987
License Number StateLA
# 13
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number61063
License Number StateGA
# 14
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberQ2762
License Number StateTX
# 15
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberQ2762
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: