Provider Demographics
NPI:1073332573
Name:ALAGHA, WASIM HASSAN (MSC)
Entity type:Individual
Prefix:MR
First Name:WASIM
Middle Name:HASSAN
Last Name:ALAGHA
Suffix:
Gender:M
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 MARK TWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-3253
Mailing Address - Country:US
Mailing Address - Phone:573-340-5562
Mailing Address - Fax:
Practice Address - Street 1:908 MARK TWAIN AVE
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-3253
Practice Address - Country:US
Practice Address - Phone:573-340-5562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion