Provider Demographics
NPI:1235887613
Name:ALJABERY, SAJAD
Entity Type:Individual
Prefix:
First Name:SAJAD
Middle Name:
Last Name:ALJABERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17760 ELM RD N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-3827
Mailing Address - Country:US
Mailing Address - Phone:412-312-5705
Mailing Address - Fax:
Practice Address - Street 1:17760 ELM RD N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-3827
Practice Address - Country:US
Practice Address - Phone:412-312-5705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care