Individual
SHARJEEL IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101243054
VA
207Q00000X
Family Medicine Physician
Primary
44318
TN
208M00000X
Hospitalist Physician
0101243054
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100058430
—
KY
Enumeration date
09/06/2007
Last updated
03/07/2013
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