Provider Demographics
NPI:1912908062
Name:ARAGHI, SAYEH (PA)
Entity type:Individual
Prefix:MISS
First Name:SAYEH
Middle Name:
Last Name:ARAGHI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40908
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-0908
Mailing Address - Country:US
Mailing Address - Phone:910-609-6448
Mailing Address - Fax:910-609-7040
Practice Address - Street 1:6387 RAMSEY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-9420
Practice Address - Country:US
Practice Address - Phone:910-609-3920
Practice Address - Fax:910-321-6221
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102540363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2758718Medicare ID - Type UnspecifiedPROVIDER NUMBER
NCP90921Medicare UPIN