MEDICARE: IHAB AJAAJ M.D

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	207R00000X	Internal Medicine Physician	RS2013-0391	NM
2	207RC0000X	Cardiovascular Disease Physician	01081659A	IN

General Provider Information

NPI Number	:	1861832594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IHAB AJAAJ M.D

Provider Business Mailing Address
First Line	:	330 N WABASH AVE STE 110
Second Line	:
City	:	MARION
State	:	IN
Zip	:	46952-2677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 N WABASH AVE STE 110
Second Line	:
City	:	MARION
State	:	IN
Zip	:	46952-2677
Country	:	US
Telephone Number	:	765-664-1201
Fax Number	:

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

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/25/2025

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Directions to “ IHAB AJAAJ M.D” Practice Location

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