Healthcare Provider Details

I. General information

NPI: 1306788641
Provider Name (Legal Business Name): AFRAH NOOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GRAND AVE
DES MOINES IA
50312-4104
US

IV. Provider business mailing address

1325 NW 7TH ST
BOCA RATON FL
33486-3215
US

V. Phone/Fax

Practice location:
  • Phone: 515-271-1400
  • Fax:
Mailing address:
  • Phone: 561-239-2614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1306788641
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: