Provider Demographics
NPI:1891177713
Name:NAGUIB, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:NAGUIB
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 1:833 WAKE FOREST BUSINESS PARK STE C
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6521
Mailing Address - Country:US
Mailing Address - Phone:919-230-7233
Mailing Address - Fax:
Practice Address - Street 1:833 WAKE FOREST BUSINESS PARK STE C
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6521
Practice Address - Country:US
Practice Address - Phone:919-230-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-27
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC781213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC781OtherNORTH CAROLINA STATE BOARD