Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 19194 | AL |
N | 208600000X | Surgeon | 19194 | AL |
N | 2086S0102X | Surgical Critical Care | 00019194 | AL |
N | 2086S0102X | Surgical Critical Care | 19194 | AL |
N | 2086S0127X | Trauma Surgeon | 00019194 | AL |
Y | 2086S0127X | Trauma Surgeon | 19194 | AL |
NPI | 1508831181 |
---|---|
Provider Name | Dr. Rony Najjar |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-5177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 21/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000035807 | ALABAMA MEDICAID (01) | AL |
051535807 | BLUE CROSS (01) | AL |
3029617 | TENNCARE (01) | TN |
4045900 | TENNESSEE MEDICAID (01) | TN |
529701430 | (05) | AL |
G12031 | (02) | AL |