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Individual

DR. ATHER IQBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11020 HULL STREET RD, MIDLOTHIAN, VA 23112-3200
(804) 744-6310
(804) 217-7991
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010124807
VA
207Q00000X
Family Medicine Physician
200704
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529435
LA
Enumeration date
02/05/2007
Last updated
03/26/2010
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