Provider Demographics
NPI:1932150968
Name:HAJAL, RIZAN A (MD)
Entity Type:Individual
Prefix:
First Name:RIZAN
Middle Name:A
Last Name:HAJAL
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 1:6709 S. MINNESOTA AVENUE
Mailing Address - Street 2:PULMONARY & SLEEP CONSULTANTS, P.C. SUITE 205
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2593
Mailing Address - Country:US
Mailing Address - Phone:605-271-2700
Mailing Address - Fax:605-271-2277
Practice Address - Street 1:6709 S. MINNESOTA AVENUE
Practice Address - Street 2:PULMONARY & SLEEP CONSULTANTS, P.C. SUITE 205
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2593
Practice Address - Country:US
Practice Address - Phone:605-271-2700
Practice Address - Fax:605-271-2277
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5028207RP1001X
IL036148349207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1564450Medicaid
SD6630842Medicaid
ND13995Medicaid
SD4994327OtherBCBS
IL036148349Medicaid
MN493912300Medicaid
ND27071OtherBCBS
ND27071OtherBCBS
H78437Medicare UPIN
H78437Medicare UPIN