Provider Demographics
NPI:1467443192
Name:NAJJAR, ALIA ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIA
Middle Name:ANNETTE
Last Name:NAJJAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 SOLANO AVE APT 110
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2210
Mailing Address - Country:US
Mailing Address - Phone:832-443-1872
Mailing Address - Fax:
Practice Address - Street 1:1737 SOLANO AVE APT 110
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2210
Practice Address - Country:US
Practice Address - Phone:832-443-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2723208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0072NAOtherBLUE CROSS/BLUE SHIELD #
TX0072NAOtherBLUE CROSS/BLUE SHIELD #