MEDICARE: EMAD E SHOUKRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	332862	LA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	C10007984	DE
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	332862	LA
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	Q2389	TX
5	208M00000X	Hospitalist Physician	Q2389	TX
6	208M00000X	Hospitalist Physician	332862	LA
7	208M00000X	Hospitalist Physician	MD.49626	AL
8	207R00000X	Internal Medicine Physician	C1-0007984	DE
9	207R00000X	Internal Medicine Physician	Q2389	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01560699	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8EV528	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053318857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMAD E SHOUKRY MD

Provider Business Mailing Address
First Line	:	PO BOX 36258
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1204
Country	:	US
Telephone Number	:	251-318-2678
Fax Number	:	251-405-9900

Provider Business Practice Location Address
First Line	:	6801 AIRPORT BLVD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-3709
Country	:	US
Telephone Number	:	251-266-3580
Fax Number	:	251-266-3581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/28/2024

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Directions to “ EMAD E SHOUKRY MD” Practice Location

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