Individual
DR. ALI M AL KHAZAALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9126 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 703-2408
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067677
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01083044A
IN
Other
Enumeration date
06/22/2015
Last updated
01/07/2022
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