Individual
DR. BADER IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3180 WILLOW LN STE 102, THOUSAND OAKS, CA 91361-4900
(805) 494-8520
(805) 557-0196
Mailing address
3180 WILLOW LN STE 102, THOUSAND OAKS, CA 91361-4900
(805) 494-8520
(805) 557-0196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G069473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912960345
GROUP NPI
CA
01
—
G069473
LICENSE
CA
Enumeration date
07/27/2006
Last updated
02/19/2020
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