Individual
RONAK IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
30 N 1900 E RM AB193, SALT LAKE CITY, UT 84132-0002
(801) 585-1686
Mailing address
30 N 1900 E RM AB193, SALT LAKE CITY, UT 84132-0002
(801) 585-1686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7949789-1205
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
7949789-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
677932975
UPIN
IL
Enumeration date
04/07/2008
Last updated
05/26/2021
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