Dr. Ali M Al Khazaali, M.D.
Internal Medicine, Endocrinology, Diabetes & Metabolism in Munster, IN. Individual provider (NPI-1).
NPI number1093197451
StatusActive
Last updated in NPPESJan 7, 2022
Details
- NPI
- 1093197451
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali M Al Khazaali
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2015
- Certification date
- Jan 7, 2022
- Last updated
- Jan 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 01083044A | IN | Yes |
| 207R00000X | Internal Medicine | 125067677 | IL |
Practice location
9126 Columbia AveMunster, IN 46321-2907
Phone 219-703-2408
Mailing address
8558 BroadwayMerrillville, IN 46410-7032
Phone 219-392-7084 · Fax 219-703-6854
Other practice locations
3001 Green Bay Rd
North Chicago, IL 60064-3048
North Chicago, IL 60064-3048
Phone 847-406-6750
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