Provider Demographics
NPI:1134171788
Name:ALAA M. ELREFAI, MD, PC
Entity type:Organization
Organization Name:ALAA M. ELREFAI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ELREFAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-437-1982
Mailing Address - Street 1:5510 HIGHWAY 280
Mailing Address - Street 2:SUITE 215
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6582
Mailing Address - Country:US
Mailing Address - Phone:205-437-1982
Mailing Address - Fax:
Practice Address - Street 1:5510 HIGHWAY 280
Practice Address - Street 2:SUITE 215
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6582
Practice Address - Country:US
Practice Address - Phone:205-437-1982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL183562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALB65188Medicare UPIN