MEDICARE: MOHAMMAD FAWAD ARYANPURE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	27529	AL

General Provider Information

NPI Number	:	1164439709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD FAWAD ARYANPURE MD

Provider Business Mailing Address
First Line	:	PO BOX 117598
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-7598
Country	:	US
Telephone Number	:	770-442-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	7005 6TH AVE
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-3990
Country	:	US
Telephone Number	:	205-345-4862
Fax Number	:	205-330-0228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	03/09/2026

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