Individual
DR. SYMA IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, NOR 8302E, LOS ANGELES, CA 90089-0112
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
A62095
CA
207RX0202X
Medical Oncology Physician
Primary
A62095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A620950
BLUE SHIELD
CA
01
—
06E2774
GROUP CHAMPUS
CA
01
—
ZZZ50018Z
GROUP BLUE SHIELD
CA
Enumeration date
07/13/2006
Last updated
11/27/2023
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