Basic Information
Provider Information
NPI: 1124549720
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAJAR
FirstName: ZEINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1223 S GEAR AVE
Address2:  
City: WEST BURLINGTON
State: IA
PostalCode: 526551682
CountryCode: US
TelephoneNumber: 3197681000
FaxNumber:  
Practice Location
Address1: 1223 S GEAR AVE
Address2:  
City: WEST BURLINGTON
State: IA
PostalCode: 526551682
CountryCode: US
TelephoneNumber: 3197681000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/05/2017
LastUpdateDate: 01/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD-47822IAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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