Provider Demographics
NPI:1013701085
Name:AL REFAI, MOHAMMAD OMAR (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:OMAR
Last Name:AL REFAI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2725
Mailing Address - Country:US
Mailing Address - Phone:507-206-9056
Mailing Address - Fax:
Practice Address - Street 1:616 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2725
Practice Address - Country:US
Practice Address - Phone:507-206-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program