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Individual

DR. IQBAL AHMAD KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 ED PREATE DR # 109, MOOSIC, PA 18507-1755
(570) 678-2588
(866) 259-6004
Mailing address
30 ED PREATE DR STE 109, MOOSIC, PA 18507-1755
(570) 678-2588
(866) 259-6004

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
052377L
PA
2084N0400X
Neurology Physician
Primary
MD052377L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010856870001
PA
Enumeration date
10/21/2005
Last updated
03/02/2024
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