Provider Demographics
NPI:1033187505
Name:FATHALLAH-SHAYKH, SAHAR ABOUL RAHIM (MD)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:ABOUL RAHIM
Last Name:FATHALLAH-SHAYKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAHAR
Other - Middle Name:ABDOULRAHIM
Other - Last Name:TARIF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-9781
Mailing Address - Fax:205-638-2517
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9781
Practice Address - Fax:205-638-2517
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.292432080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL104180 CHSMedicaid
AL107633 HSFMedicaid
AL515-93067OtherBCBS HSF
AL515-93068OtherBCBS CHS
AL515-93067OtherBCBS HSF