Provider Demographics
NPI:1386439446
Name:ELBAGGARI, NAHID YUSUF MOHAMED
Entity type:Individual
Prefix:
First Name:NAHID
Middle Name:YUSUF MOHAMED
Last Name:ELBAGGARI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 TIMBER CREEK DR # MO
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1946
Mailing Address - Country:US
Mailing Address - Phone:573-530-6058
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD RM C-325
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RI0200X207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease