Individual
MOHAMMAD OMER IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 DOCTORS DR, SUITE N, KINSTON, NC 28501-1589
(252) 559-2200
(252) 522-9778
Mailing address
701 DOCTORS DR, SUITE N, KINSTON, NC 28501-1589
(252) 559-2200
(252) 522-9778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-01362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071127
MEDICARE
NC
05
—
5907451
—
NC
Enumeration date
08/01/2006
Last updated
05/31/2022
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