Individual
DR. TARIQ IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
850 KEMPSVILLE RD, STE 100F, NORFOLK, VA 23502-3920
(757) 261-5910
(757) 275-9940
Mailing address
850 KEMPSVILLE RD STE 100F, NORFOLK, VA 23502-3920
(757) 261-5910
(757) 275-9940
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101243561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV1108A
MEDICARE PTAN
VA
Enumeration date
06/21/2007
Last updated
12/20/2021
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