Individual
SHUMAILA MUHAMMAD IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 RIETH BLVD STE 104, GOSHEN, IN 46526-5869
(574) 389-5540
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01089825A
IN
207RR0500X
Rheumatology Physician
Primary
01089825A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080262
—
IN
Enumeration date
07/11/2017
Last updated
09/25/2023
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