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Individual

ABDUL KHALIQUE PANHWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1869
(641) 456-5000
(641) 456-5049
Mailing address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1869
(641) 456-5000
(641) 456-5049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34991
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5239574
IA
01
P00200232
RR MEDICARE
IA
Enumeration date
09/26/2005
Last updated
09/01/2020
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