Basic Information
Provider Information
NPI: 1225287881
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IQBAL
FirstName: MUHAMMAD
MiddleName: NOUMAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4234 RIVERWALK PARKWAY SUITE 230
Address2: PACIFIC PULMONARY MEDICAL GROUP
City: RIVERSIDE
State: CA
PostalCode: 92505
CountryCode: US
TelephoneNumber: 9517813672
FaxNumber: 9517810365
Practice Location
Address1: 4234 RIVERWALK PARKWAY SUITE 230
Address2: PACIFIC PULMONARY MEDICAL GROUP
City: RIVERSIDE
State: CA
PostalCode: 92505
CountryCode: US
TelephoneNumber: 9517813672
FaxNumber: 9517810365
Other Information
ProviderEnumerationDate: 09/18/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA144912CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001XA144912CAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000X57-014262OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RS0012XA144912CAN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RC0200XA144912CAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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