Healthcare Provider Details

I. General information

NPI: 1801571377
Provider Name (Legal Business Name): IQRA SHAKOOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 VETERANS DRIVE NORTH ALABAMA MEDICAL CENTER IM RESIDENCY
FLORENCE AL
35630
US

IV. Provider business mailing address

1701 VETERANS DR
FLORENCE AL
35630-4928
US

V. Phone/Fax

Practice location:
  • Phone: 256-629-1950
  • Fax: 256-629-2765
Mailing address:
  • Phone: 256-629-1950
  • Fax: 256-629-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number52964
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: