Provider Demographics
NPI:1508831181
Name:NAJJAR, RONY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONY
Middle Name:
Last Name:NAJJAR
Suffix:
Gender:M
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:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-2895
Mailing Address - Fax:256-265-9777
Practice Address - Street 1:201 SIVLEY RD SW STE 400
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5177
Practice Address - Country:US
Practice Address - Phone:256-265-2895
Practice Address - Fax:256-265-9777
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19194208600000X, 2086S0102X, 2086S0127X
AL000191942086S0102X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051535807OtherBLUE CROSS
TN3029617OtherTENNCARE
TN4045900OtherTENNESSEE MEDICAID
AL529701430Medicaid
AL000035807OtherALABAMA MEDICAID
TN4045900OtherTENNESSEE MEDICAID
AL000035807Medicare PIN
AL051535807OtherBLUE CROSS