Individual
ALI HEMACHA
Active
Individual
ALI HEMACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
039170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391705
—
CT
01
—
P00155389
RAILROAD MEDICARE
CT
Enumeration date
02/07/2006
Last updated
01/09/2008
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