Provider Demographics
NPI:1689100695
Name:BAGHA, ALIMOHAMMAD
Entity type:Individual
Prefix:
First Name:ALIMOHAMMAD
Middle Name:
Last Name:BAGHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 140TH AVE NE APT 36
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1884
Mailing Address - Country:US
Mailing Address - Phone:253-970-2530
Mailing Address - Fax:
Practice Address - Street 1:2440 140TH AVE NE APT 36
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1884
Practice Address - Country:US
Practice Address - Phone:253-970-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter