Basic Information
Provider Information
NPI: 1609280262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IQBAL
FirstName: MUHAMMAD
MiddleName: NAVAID
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16111 PLUMMER ST
Address2:  
City: NORTH HILLS
State: CA
PostalCode: 913432036
CountryCode: US
TelephoneNumber: 8188917711
FaxNumber:  
Practice Location
Address1: 16111 PLUMMER ST
Address2:  
City: NORTH HILLS
State: CA
PostalCode: 913432036
CountryCode: US
TelephoneNumber: 8188917711
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2014
LastUpdateDate: 10/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0802X292701NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry

No ID Information.


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