Provider Demographics
NPI:1659070514
Name:ALMUGHRABI, AHMAD RASHAD
Entity Type:Individual
Prefix:
First Name:AHMAD
Middle Name:RASHAD
Last Name:ALMUGHRABI
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 1:705 N MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2192
Mailing Address - Country:US
Mailing Address - Phone:918-710-0620
Mailing Address - Fax:
Practice Address - Street 1:705 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2192
Practice Address - Country:US
Practice Address - Phone:918-710-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program