Provider Demographics
NPI:1932742541
Name:AGHAPY LLC
Entity Type:Organization
Organization Name:AGHAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-944-8253
Mailing Address - Street 1:6101E N SHERIDAN RD UNIT 37B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-6825
Mailing Address - Country:US
Mailing Address - Phone:773-273-1447
Mailing Address - Fax:
Practice Address - Street 1:5683 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-6220
Practice Address - Country:US
Practice Address - Phone:773-273-1447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-26
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery