Provider Demographics
NPI:1578651931
Name:AL-HAJ, IMAN (MD)
Entity Type:Individual
Prefix:
First Name:IMAN
Middle Name:
Last Name:AL-HAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12131 WESTHEIMER RD STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6872
Mailing Address - Country:US
Mailing Address - Phone:281-222-8602
Mailing Address - Fax:281-496-2432
Practice Address - Street 1:12131 WESTHEIMER RD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6872
Practice Address - Country:US
Practice Address - Phone:281-222-8602
Practice Address - Fax:281-496-2432
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2529208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery