Individual
FARZANA SHARMIN IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 W RACE ST, KINGSTON, TN 37763-2120
(865) 376-3406
(865) 376-9091
Mailing address
820 W RACE ST, KINGSTON, TN 37763-2120
(865) 376-3406
(865) 376-9091
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD0000030690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522673
—
TN
05
—
3704598
—
TN
05
—
38303561
—
TN
01
—
4167588
BCBS
TN
01
—
4394936
CIGNA
TN
01
—
7944798
AETNA
TN
05
—
Q026084
—
TN
01
—
TN0160
JOHN DEERE/UHC
TN
Enumeration date
07/06/2006
Last updated
11/28/2022
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