Ghazal Aghagoli

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Durham, NC

NPI 1396596540 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1396596540
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other providers in Durham, NC

All providers in Durham, NC · Student in an Organized Health Care Education/Training Program in North Carolina

Sources for this page

Verify at the official NPI Registry.