Provider Demographics
NPI:1679389621
Name:ALGABRI, ALI (PA-C)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ALGABRI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 REUTER ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1835
Mailing Address - Country:US
Mailing Address - Phone:313-460-6813
Mailing Address - Fax:
Practice Address - Street 1:7100 REUTER ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1835
Practice Address - Country:US
Practice Address - Phone:313-460-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant