MEDICARE: DR. ALI HUSSAIN AL-KHAFAJI 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	174400000X	Specialist	MD068841L	PA

General Provider Information

NPI Number	:	1992776348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI HUSSAIN AL-KHAFAJI MD

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2546
Country	:	US
Telephone Number	:	412-647-3136
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2546
Country	:	US
Telephone Number	:	412-647-3136
Fax Number	:

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/08/2007

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