Ajamoughli, Ghaith
Ajamoughli, Ghaith is an individual health care provider with primary practice located at 1040 Glenn Blvd Sw , Fort Payne AL 35967-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ajamoughli, Ghaith can be contacted via phone (256) 845-6900.Contact Information
Primary practice address
1040 Glenn Blvd Sw
Fort Payne AL 35967-8413
Phone: (256) 845-6900
Fax: (256) 845-6911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00019459 | Alabama |
Profile Details
| NPI number | 1841212974 |
|---|---|
| LBN Legal business name | Ajamoughli, Ghaith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jan 6th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841212974 | NPPES |
| Alabama | Other | 51004641 | BLUE CROSS |
| Alabama | Other | 51558227 | BLUE CROSS |
| Alabama | MEDICAID | 009932321 | BLUE CROSS |
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