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Individual
JAVED IQBAL BANGASH
Active
Individual
JAVED IQBAL BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-060695
IL
208000000X
Pediatrics Physician
336025262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060695
—
IL
01
—
045000608
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/16/2006
Last updated
12/18/2012
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