Provider Demographics
NPI:1043988793
Name:ALGHAIHAB, AMJAD MOHAMMED G
Entity Type:Individual
Prefix:DR
First Name:AMJAD
Middle Name:MOHAMMED G
Last Name:ALGHAIHAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411H KOURY ORAL HEALTH SCIENCE BUILDING
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-537-3162
Mailing Address - Fax:
Practice Address - Street 1:5411H KOURY ORAL HEALTH SCIENCE BUILDING
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-537-3162
Practice Address - Fax:919-966-0705
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1513391223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology