Individual
DR. ALI FAROOQ IQTIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 300, MUNCIE, IN 47303-3400
(765) 281-2188
(765) 281-2062
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01068807A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01068807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024120
—
IN
01
—
P01099943
MEDICARE RAILROAD
IN
01
—
P01617399
RRMEDICARE
IN
Enumeration date
09/20/2006
Last updated
01/06/2022
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