Provider Demographics
NPI:1184632168
Name:RAGHEB, MAGDY AYAD LOUTFY (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDY
Middle Name:AYAD LOUTFY
Last Name:RAGHEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6921 PROVIDENCE ESTATE DRIVE NORTH
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695
Mailing Address - Country:US
Mailing Address - Phone:251-633-0806
Mailing Address - Fax:
Practice Address - Street 1:1504 SPRINGHILL AVENUE
Practice Address - Street 2:VA VETERAN HEALTH CURE SYSTEM MOBILE OUTPATIENT CLINIC
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604
Practice Address - Country:US
Practice Address - Phone:251-219-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000157162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry