Individual
JAWED IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
Mailing address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010156547
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006722822
—
VA
01
—
107442
ANTHEM HEALTHKEEPERS
VA
Enumeration date
04/27/2006
Last updated
02/23/2012
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