=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407710866
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NADIA ELBAGHDADI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 09/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2219 RIMLAND DR STE 301
-----------------------------------------------------
City | BELLINGHAM
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98226-8759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-722-9700
-----------------------------------------------------
Fax | 844-222-0800
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27777 INKSTER RD SUITE 100
-----------------------------------------------------
City | FARMINGTON HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48334-5310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-772-8847
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | MDCE.ML.70136514
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------