Provider Demographics
NPI:1063385870
Name:AGAIBY, NAGAT B
Entity type:Individual
Prefix:
First Name:NAGAT
Middle Name:B
Last Name:AGAIBY
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 1:7088 LAURA LEE LN
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4519
Mailing Address - Country:US
Mailing Address - Phone:216-524-2436
Mailing Address - Fax:
Practice Address - Street 1:7088 LAURA LEE LN
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-4519
Practice Address - Country:US
Practice Address - Phone:216-524-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2119924251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2119924Medicaid
OH0000018526OtherOHIOMEDICAIDSUPPLIERID