Individual
AYESHA IQBAL
Active
Individual
AYESHA IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141732A
—
GA
Enumeration date
12/12/2013
Last updated
12/27/2019
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