Healthcare Provider Details

I. General information

NPI: 1679979603
Provider Name (Legal Business Name): DALE RAILWAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2014
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 GOODYEAR AVE
GADSDEN AL
35903-2008
US

IV. Provider business mailing address

1102 GOODYEAR AVE
GADSDEN AL
35903-2008
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-9924
  • Fax:
Mailing address:
  • Phone: 256-492-9924
  • Fax: 256-492-9965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number43487
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number43487
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: