Individual
MAAZ IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E MCKELLIPS RD STE 121, MESA, AZ 85203-2527
(480) 900-7373
Mailing address
535 E MCKELLIPS RD STE 121, MESA, AZ 85203-2527
(480) 900-7373
(480) 900-6844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R72526
AZ
208VP0000X
Pain Medicine Physician
52281
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
52281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52281
AZ MEDICAL LICENCE
AZ
01
—
R72526
TRAINING PERMIT
AZ
Enumeration date
06/27/2011
Last updated
11/04/2024
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