Individual
MUHAMMAD FAHAIR IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 PINNACLES DR STE 700, PALM COAST, FL 32164-2915
(386) 387-8500
(386) 387-8511
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.156403
IL
207R00000X
Internal Medicine Physician
2018-00483
NC
207R00000X
Internal Medicine Physician
MD-48323
IA
207RH0003X
Hematology & Oncology Physician
Primary
ME154206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113456800
—
FL
01
—
B81YR
FL BLUE
FL
01
—
OZ631
MEDICARE
FL
01
—
OZ632
MEDICARE
FL
Enumeration date
07/17/2014
Last updated
04/06/2022
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