Individual
RAEF HAJJALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10103 RIDGEGATE PKWY, SUITE 103, LONE TREE, CO 80124-5520
(303) 645-0090
(303) 645-0092
Mailing address
4900 S MONACO ST STE 210, AGH CARDIOLOGY SUITE 307, DENVER, CO 80237-3487
(303) 645-0090
(303) 645-0092
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD419472
PA
207RI0011X
Interventional Cardiology Physician
Primary
DR.0056735
CO
207RI0011X
Interventional Cardiology Physician
MD419472
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019543370002
—
PA
05
—
2006289000
—
WV
05
—
2444126
—
OH
Enumeration date
07/21/2005
Last updated
01/31/2022
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