1932150968 NPI number — RIZAN A HAJAL MD

Table of content: RIZAN A HAJAL MD (NPI 1932150968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932150968 NPI number — RIZAN A HAJAL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAJAL
Provider First Name:
RIZAN
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932150968
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6709 S. MINNESOTA AVENUE
Provider Second Line Business Mailing Address:
PULMONARY & SLEEP CONSULTANTS, P.C. SUITE 205
Provider Business Mailing Address City Name:
SIOUX FALLS
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57108-2593
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-271-2700
Provider Business Mailing Address Fax Number:
605-271-2277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6709 S. MINNESOTA AVENUE
Provider Second Line Business Practice Location Address:
PULMONARY & SLEEP CONSULTANTS, P.C. SUITE 205
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57108-2593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-271-2700
Provider Business Practice Location Address Fax Number:
605-271-2277
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X , with the licence number:  036148349 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: 036148349 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RP1001X , with the licence number: 5028 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 036148349 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 27071 . This is a "BCBS" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 493912300 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4994327 . This is a "BCBS" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 1564450 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13995 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6630842 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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