MEDICARE: ELIAS HAJJAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35078110	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01046733	OTHER	OH	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780689422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS HAJJAR MD

Provider Business Mailing Address
First Line	:	7088 BIRCHLEY DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-6476
Country	:	US
Telephone Number	:	513-737-1509
Fax Number	:

Provider Business Practice Location Address
First Line	:	7088 BIRCHLEY DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-6476
Country	:	US
Telephone Number	:	513-737-1509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	08/15/2023

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Directions to “ ELIAS HAJJAR MD” Practice Location

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