Provider Demographics
NPI:1710621040
Name:LOBBOUS, MARIAM ATEF KAMEL (MD)
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:ATEF KAMEL
Last Name:LOBBOUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 COLONNADE PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2342
Mailing Address - Country:US
Mailing Address - Phone:205-971-7613
Mailing Address - Fax:
Practice Address - Street 1:2949 JOHN HAWKINS PKWY
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1095
Practice Address - Country:US
Practice Address - Phone:205-987-0005
Practice Address - Fax:205-987-0065
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.50275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine