Individual
IQBAL S MAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1235 PEAR AVE, 101, MOUNTAIN VIEW, CA 94043-1444
(650) 965-8434
(650) 965-8545
Mailing address
PO BOX 8125, FOUNTAIN VALLEY, CA 92728-8125
(650) 965-8434
(650) 965-8545
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PT32577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT32577
STATE LICENSE
CA
Enumeration date
10/04/2006
Last updated
02/11/2022
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