Individual
DR. IMRAN JAVED IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HELMWOOD PLAZA DR STE 103, ELIZABETHTOWN, KY 42701-3459
(270) 979-7171
(270) 979-7172
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54260
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834844
—
AZ
Enumeration date
05/10/2009
Last updated
09/28/2020
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