MEDICARE: SHAHID ALI IQBAL MD PA

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	207K00000X	Allergy & Immunology Physician	ME 0080570	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508159740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAHID ALI IQBAL MD PA

Provider Business Mailing Address
First Line	:	5516 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4904
Country	:	US
Telephone Number	:	813-876-0502
Fax Number	:	813-872-6503

Provider Business Practice Location Address
First Line	:	5516 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4904
Country	:	US
Telephone Number	:	813-876-0502
Fax Number	:	813-872-6503

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAHID IQBAL
Credential	:	M.D.
Telephone Number	:	813-838-0472

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	10/23/2020

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