MEDICARE: DR. NAJAH AL SHALCHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G 1809	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922109651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAJAH AL SHALCHI MD

Provider Business Mailing Address
First Line	:	7712 ECKHERT RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3008
Country	:	US
Telephone Number	:	210-520-8060
Fax Number	:	210-520-0696

Provider Business Practice Location Address
First Line	:	7712 ECKHERT RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3008
Country	:	US
Telephone Number	:	210-520-8060
Fax Number	:	210-520-0696

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/03/2019

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