Individual
FUAD HAJJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3533 SOUTHERN BLVD STE 5800, KETTERING, OH 45429-1263
(937) 439-3600
(937) 741-8366
Mailing address
3533 SOUTHERN BLVD STE 5800, KETTERING, OH 45429-1263
(937) 439-3600
(937) 741-8366
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35076450
OH
207RP1001X
Pulmonary Disease Physician
Primary
35076450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200482090
—
IN
05
—
2217756
—
OH
05
—
64083538
—
KY
01
—
H698700
MEDICARE PTAN
OH
01
—
P02209256
RRMEDICARE PTAN
OH
Enumeration date
11/22/2006
Last updated
08/20/2025
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