Provider Demographics
NPI:1447016829
Name:ALSAGAA, REHAM NAJI
Entity type:Individual
Prefix:
First Name:REHAM
Middle Name:NAJI
Last Name:ALSAGAA
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 1:5416 KENDAL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3158
Mailing Address - Country:US
Mailing Address - Phone:313-858-4111
Mailing Address - Fax:
Practice Address - Street 1:5416 KENDAL ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3158
Practice Address - Country:US
Practice Address - Phone:313-858-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician