Provider Demographics
NPI:1003876871
Name:HASANAJ, XAJE A (MD)
Entity Type:Individual
Prefix:DR
First Name:XAJE
Middle Name:A
Last Name:HASANAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:507 HIGHLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-4936
Mailing Address - Country:US
Mailing Address - Phone:336-623-5021
Mailing Address - Fax:336-623-7902
Practice Address - Street 1:507 HIGHLAND PARK DR
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-4936
Practice Address - Country:US
Practice Address - Phone:336-623-5021
Practice Address - Fax:336-623-7902
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9400830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF88116Medicare UPIN