Provider Demographics
NPI:1760631303
Name:HAJ ALI, EHAB (MD)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:
Last Name:HAJ ALI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3999 DUTCHMANS LN
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4729
Mailing Address - Country:US
Mailing Address - Phone:502-883-0227
Mailing Address - Fax:502-410-0484
Practice Address - Street 1:3999 DUTCHMANS LN
Practice Address - Street 2:SUITE 2F
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4729
Practice Address - Country:US
Practice Address - Phone:502-883-0227
Practice Address - Fax:502-410-0484
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2014-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY45265207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease