Provider Demographics
NPI:1508757998
Name:J RAPHA, SC
Entity type:Organization
Organization Name:J RAPHA, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN & OPERATION LEAD
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-574-0413
Mailing Address - Street 1:6105 BABL LN # WESTON
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-1966
Mailing Address - Country:US
Mailing Address - Phone:715-574-0413
Mailing Address - Fax:
Practice Address - Street 1:6105 BABL LN # WESTON
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-1966
Practice Address - Country:US
Practice Address - Phone:715-574-0413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty