Provider Demographics
NPI:1578364824
Name:AGHA LLC
Entity type:Organization
Organization Name:AGHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAGHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-954-9355
Mailing Address - Street 1:627 AURORA AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4217
Mailing Address - Country:US
Mailing Address - Phone:317-954-9355
Mailing Address - Fax:
Practice Address - Street 1:627 AURORA AVE APT 411
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4217
Practice Address - Country:US
Practice Address - Phone:317-954-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care