Healthcare Provider Details

I. General information

NPI: 1902354277
Provider Name (Legal Business Name): RAHEL AZIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 AIRPORT BLVD
MOBILE AL
36608-3709
US

IV. Provider business mailing address

6801 AIRPORT BLVD
MOBILE AL
36608-3709
US

V. Phone/Fax

Practice location:
  • Phone: 251-266-3580
  • Fax: 251-266-3581
Mailing address:
  • Phone: 251-266-3580
  • Fax: 251-266-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01076619A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD.35526
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.35526
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: