Basic Information
| Provider Information | |||||||||
| NPI: | 1508814021 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IQBAL | ||||||||
| FirstName: | SABAHAT | ||||||||
| MiddleName: | K. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1095 HIGHWAY 15 S | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553505000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202345000 | ||||||||
| FaxNumber: | 3204844686 | ||||||||
| Practice Location | |||||||||
| Address1: | 1095 HIGHWAY 15 S | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202345000 | ||||||||
| FaxNumber: | 3204844686 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 08/23/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35-087528 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 64292 | MN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.