Provider Demographics
NPI:1225033368
Name:HIJAZI, ALI ATEF (MD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:ATEF
Last Name:HIJAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11145
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24062-1145
Mailing Address - Country:US
Mailing Address - Phone:540-520-7222
Mailing Address - Fax:
Practice Address - Street 1:1 ARH LANE
Practice Address - Street 2:ALLEGHANY HOSPITALISTS
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457
Practice Address - Country:US
Practice Address - Phone:540-862-6223
Practice Address - Fax:540-862-9181
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-02027208M00000X
VA0101231545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225033368OtherMEDICAID OF VA
VA005860954Medicaid
VA1851572721OtherBC/BS OF VIRGINIA
110222884Medicare ID - Type UnspecifiedRAILROAD MEDICARE/RRMC
VA00X834A01Medicare PIN
VA1851572721OtherBC/BS OF VIRGINIA
VA110008161Medicare ID - Type UnspecifiedTRAILBLAZER HEALTH/VAMC