Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 19907 | KY |
NPI | 1013032911 |
---|---|
Provider Name | Dr. Naji Elias Hajjar |
First Address | Ashland, KY 41101-2873 |
Second Address | Ashland, KY 41101-2873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000047529 | ANTHEM (01) | |
64199078 | (05) | KY |
C75824 | (02) | |
KOO4497 | TRICARE (01) |