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DR. MAHTAB FAKHARI MD
NPI 1154828739
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since April 10, 2018
625 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4060 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mahtab Fakhari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAHTAB FAKHARI MD (NPI 1154828739) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1154828739
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MAHTAB FAKHARICredential: MD
Location Address625 19TH ST SBirmingham, AL 35249-1900
Mailing Address625 19th St SBirmingham, AL 35249-1900
Phone(205) 934-4060
Sole ProprietorNo
Enumeration DateApril 10, 2018
✔ NPI 1154828739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
625 19TH ST S, Birmingham, AL 35249
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES MCPHAIL MD
Internal Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-2490
SUNIL RANGARAJAN M.D
Internal Medicine (Medical Oncology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-9666
CRISTINA I CORREA CRNP
Nurse Practitioner (Gerontology)
625 19TH ST S, JT 807
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4696
YEN CHAU M.D.
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-6525
MR. TYLER WILSON CLEMMENSEN
Pathology (Anatomic Pathology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4303
MAUDE CREPAULT
Emergency Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-3640
ALYSSA K. POLSON MD
Personal Emergency Response Attendant
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 975-7387
DANIEL SULLIVAN HENDERSON
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-2559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahtab Fakhari's NPI number?

The NPI number for Mahtab Fakhari is 1154828739. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Mahtab Fakhari located?

Mahtab Fakhari practices at 625 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4060.

What is Mahtab Fakhari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mahtab Fakhari was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.