Individual
IBRAIZ IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 HARDIN LN, SUITE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Mailing address
104 HARDIN LN, SUITE B, SOMERSET, KY 42503-3800
(606) 677-1112
(606) 679-1341
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
38636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336184
BCBS
KY
05
—
64082605
—
KY
01
—
P00147774
PALMETTO GBA
KY
Enumeration date
01/13/2006
Last updated
11/07/2024
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