Basic Information
Provider Information
NPI: 1871970814
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ELHADY
FirstName: DALYA
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4101 GREENBRIAR DR STE 208
Address2:  
City: HOUSTON
State: TX
PostalCode: 770985266
CountryCode: US
TelephoneNumber: 8327777246
FaxNumber: 8327060777
Practice Location
Address1: 4101 GREENBRIAR DR STE 208
Address2:  
City: HOUSTON
State: TX
PostalCode: 770985266
CountryCode: US
TelephoneNumber: 8327777246
FaxNumber: 8327060777
Other Information
ProviderEnumerationDate: 04/28/2015
LastUpdateDate: 08/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900XS0154TXY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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