Provider Demographics
NPI:1952180598
Name:ZAGHMOT, ALAA
Entity Type:Individual
Prefix:
First Name:ALAA
Middle Name:
Last Name:ZAGHMOT
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 1:18831 E GUNNISON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4452
Mailing Address - Country:US
Mailing Address - Phone:172-032-5963
Mailing Address - Fax:
Practice Address - Street 1:18831 E GUNNISON PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4452
Practice Address - Country:US
Practice Address - Phone:172-032-5963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program