Individual
NUSRUM IQBAL
Active
Individual
NUSRUM IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836033
—
AZ
01
—
DR2642
MEDICARE PTAN RR GROUP
AZ
01
—
P00915869
MEDICARE PTAN RR PROVIDER
AZ
01
—
Z140497
MEDICARE PTAN BUSINESS
AZ
01
—
Z140498
MEDICARE PTAN INDIVIDUAL
AZ
01
—
Z144296
MEDICARE PTAN FOR OROVALLEY, AZ
AZ
Enumeration date
07/07/2006
Last updated
08/10/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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