Organization
IM CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMER IQBAL DO (OWNER)
(256) 258-9278
Entity
Organization
Contact information
Practice address
420 LOWELL DR SE STE 102, HUNTSVILLE, AL 35801-3755
(256) 258-9278
Mailing address
PO BOX 527, HUNTSVILLE, AL 35804-0527
(256) 258-9278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
DO.1670
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
03/07/2018
Last updated
01/02/2023
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