Individual
PHOOL IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
1901 1ST AVE FL 15, NEW YORK, NY 10029-7494
(212) 423-6271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025026547
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2022
Last updated
07/08/2025
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