# J RAPHA, SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508757998
- **Authorized official:** RUTH MAHMOOD MD (PHYSICIAN & OPERATION LEAD)
- **Authorized official phone:** (715) 574-0413

## Contact information

- **Practice address:** 6105 BABL LN \# WESTON, SCHOFIELD, WI 54476-1966
- **Practice address phone:** (715) 574-0413
- **Mailing address:** 6105 BABL LN \# WESTON, SCHOFIELD, WI 54476-1966
- **Mailing address phone:** (715) 574-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2025
- **Last updated:** 07/14/2025