Individual
IQBAL M RATNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7531
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L7531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180322302
—
TX
05
—
180322303
—
TX
05
—
180322304
—
TX
01
—
616192200
US DEPT OF LABOR
TX
01
—
8DY835
BLUE CROSS BLUE SHIELD
TX
01
—
8W4770
BLUE CROSS BLUE SHIELD
TX
01
—
P01030504
RR MEDICARE
TX
01
—
P01254114
MEDICARE RR
TX
Enumeration date
05/05/2006
Last updated
06/26/2016
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