Organization
HEART CENTER OF SOMERSET PLLC
Active
Other names
The Heart Center of Somerset, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAIZ IQBAL MD (PHYSICIAN)
(606) 677-1112
Entity
Organization
Contact information
Practice address
104 HARDIN LN, SUITE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Mailing address
104 HARDIN LN, SUITE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336184
BCBS
KY
01
—
1214392
CHA HEALTH
KY
05
—
64082605
—
KY
01
—
P00147774
PALMETTO GBA
KY
Enumeration date
01/12/2006
Last updated
07/07/2020
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