Provider Demographics
NPI:1750026175
Name:ALGHARAZI, NAGIBA ALI
Entity Type:Individual
Prefix:MISS
First Name:NAGIBA
Middle Name:ALI
Last Name:ALGHARAZI
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 1:7032 HARTWELL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1823
Mailing Address - Country:US
Mailing Address - Phone:313-247-2116
Mailing Address - Fax:
Practice Address - Street 1:7032 HARTWELL ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1823
Practice Address - Country:US
Practice Address - Phone:313-247-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty