IMAD NASSER ELBGAL NPI 1457867988

NPI Information

  • NPI: 1457867988
  • Provider Name: IMAD NASSER ELBGAL
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 6450 MAPLE ST
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 216-2200

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NPI Details

Imad Nasser Elbgal is a specialist in Dearborn, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Imad Nasser Elbgal NPI is 1457867988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6450 MAPLE ST
DEARBORN, MI
ZIP 48126-259
Phone: (313) 216-2200
Fax: (313) 584-3622

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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