Individual
MOHAMMAD KHALID IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2221 WEST CUMBERLAND RD, BLUEFIELD, VA 24605
(276) 322-3180
(276) 322-1308
Mailing address
PO BOX 1347, BLUEFIELD, VA 24605
(276) 322-3180
(276) 322-1308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048107
VA
2080P0202X
Pediatric Cardiology Physician
0101048107
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006729487
VA MCAIDE
—
05
—
0107321000
—
WV
01
—
281334
BCBS
—
Enumeration date
10/18/2006
Last updated
08/08/2011
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