Healthcare Provider Details

I. General information

NPI: 1174716294
Provider Name (Legal Business Name): ALI NAJI AL-HAJJAJ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S. CLIFF AVE. STE. 1100
SIOUX FALLS SD
57105-1057
US

IV. Provider business mailing address

1315 S. CLIFF AVE. STE. 1100
SIOUX FALLS SD
57105-1057
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-7350
  • Fax: 605-322-7351
Mailing address:
  • Phone: 605-322-7350
  • Fax: 605-322-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number9585
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME98085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: