NPIMap

Organization Active NPI

Karim Shakoor, M.D.,P.C.

  • Internal Medicine Physician
  • Conyers, GA
National Provider Identifier
1700946258
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43283 Issued in GA
Legal business name
KARIM SHAKOOR, M.D.,P.C.
Practice address
1380 Milstead Ave NE
Suite-C
Conyers, GA 30012-3864
Phone
(770) 922-7000
Fax
(770) 922-8070
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karim K Shakoor, M.D.
Title
P.C.
Phone
(770) 922-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 43283 GA Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 43282 GA

Addresses

Primary practice location

1380 Milstead Ave NE
Suite-C
Conyers, GA 30012-3864

Mailing address

1380 Milstead Ave NE
Suite-C
Conyers, GA 30012-3864
Phone (770) 922-7000

Other identifiers 1

IdentifierTypeStateIssuer
00751352BMedicaidGA

National Provider Directory

National Provider Directory

Locations

1495 Old McDonough Hwy SE
#A
Conyers, GA 30094
Phone (770) 922-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1700946258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 MILSTEAD AVE NE",
            "address_2": "SUITE-C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123864",
            "telephone_number": "770-922-7000",
            "fax_number": "770-922-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 MILSTEAD AVE NE",
            "address_2": "SUITE-C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123864",
            "telephone_number": "770-922-7000",
            "fax_number": "770-922-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIM SHAKOOR, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "SHAKOOR",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "P.C.",
        "authorized_official_telephone_number": "770-922-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "43283",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "43282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00751352B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.