Provider Demographics
NPI:1013032911
Name:HAJJAR, NAJI ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJI
Middle Name:ELIAS
Last Name:HAJJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 LEXINGTON AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2873
Mailing Address - Country:US
Mailing Address - Phone:606-329-2899
Mailing Address - Fax:606-327-4398
Practice Address - Street 1:2301 LEXINGTON AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2873
Practice Address - Country:US
Practice Address - Phone:606-329-2899
Practice Address - Fax:606-327-4398
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY19907207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000047529OtherANTHEM
KY64199078Medicaid
KOO4497OtherTRICARE
KY64199078Medicaid
1435301Medicare ID - Type Unspecified