Healthcare Provider Details

I. General information

NPI: 1649959214
Provider Name (Legal Business Name): ISRAR AHMAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 COX BLVD
SHEFFIELD AL
35660-4020
US

IV. Provider business mailing address

PO BOX 2587
MUSCLE SHOALS AL
35662-2587
US

V. Phone/Fax

Practice location:
  • Phone: 256-383-4473
  • Fax: 256-320-7282
Mailing address:
  • Phone: 256-383-4473
  • Fax: 256-320-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.52534
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: