Provider Demographics
NPI:1336327477
Name:MAHMOOD, RAFIQUE JAHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFIQUE
Middle Name:JAHAN
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-0777
Mailing Address - Country:US
Mailing Address - Phone:205-481-7670
Mailing Address - Fax:205-481-7573
Practice Address - Street 1:985 9TH AVE SW
Practice Address - Street 2:SUITE 500
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4500
Practice Address - Country:US
Practice Address - Phone:205-481-7750
Practice Address - Fax:205-491-7755
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL28659207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALFM0661086OtherDEA