Provider Demographics
NPI:1437117157
Name:HACHEM, ALI B (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:B
Last Name:HACHEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 SIVLEY ROAD SW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5177
Mailing Address - Country:US
Mailing Address - Phone:256-265-1822
Mailing Address - Fax:256-265-1825
Practice Address - Street 1:201 SIVLEY ROAD SW
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5177
Practice Address - Country:US
Practice Address - Phone:256-265-1822
Practice Address - Fax:256-265-1825
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL27079207RX0202X
AL00027079207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL264157Medicaid
ALA11808L138OtherMEDICARE #
ALQ00029717OtherRAILROAD MEDICARE