Iqbal, Ajaz

Iqbal, Ajaz is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Iqbal, Ajaz can be contacted via phone (206) 481-2700.

Contact Information

Primary practice address
909 E State Blvd Fort Wayne IN 46805-3404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0420009697 Vermont

Profile Details

NPI number 1477616753
LBN Legal business name Iqbal, Ajaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477616753 NPPES
Vermont MEDICAID OVN1777

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