Provider Demographics
NPI:1568523579
Name:ALREFAI, BASEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BASEL
Middle Name:
Last Name:ALREFAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BASEL
Other - Middle Name:
Other - Last Name:REFAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:815 LEE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-2882
Mailing Address - Country:US
Mailing Address - Phone:256-212-9300
Mailing Address - Fax:256-212-9363
Practice Address - Street 1:815 LEE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2882
Practice Address - Country:US
Practice Address - Phone:256-212-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18542207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009950200Medicaid
AL051560744Medicare ID - Type Unspecified
AL009950200Medicaid