Healthcare Provider Details

I. General information

NPI: 1205190360
Provider Name (Legal Business Name): HAMEED IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROSA LN
FLORENCE AL
35630-1770
US

IV. Provider business mailing address

PO BOX 2587
MUSCLE SHOALS AL
35662-2587
US

V. Phone/Fax

Practice location:
  • Phone: 607-428-5074
  • Fax: 607-758-8210
Mailing address:
  • Phone: 256-383-4473
  • Fax: 256-320-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number41926
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41926
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number280131
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: