Provider Demographics
NPI:1235499955
Name:ELMARAGHI, ARWA M (DMD)
Entity Type:Individual
Prefix:
First Name:ARWA
Middle Name:M
Last Name:ELMARAGHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CALYPSO BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1432
Mailing Address - Country:US
Mailing Address - Phone:859-396-4285
Mailing Address - Fax:
Practice Address - Street 1:A219 KENTUCKY CLINIC UNIVERSITY OF KENTUCKY COLLEGE OF
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-257-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist