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Individual

SHAHID IQBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3812 TENNESSEE AVE, CHATTANOOGA, TN 37409
(423) 821-1177
(423) 821-1188
Mailing address
3319 FOREST SHADOWS DR, CHATTANOOGA, TN 37421-2801
(423) 892-0680
(423) 821-1177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37677
TN
207Q00000X
Family Medicine Physician
GA53071
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3337823
TN
Enumeration date
10/07/2005
Last updated
07/08/2007
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