Iqbal, Amjad
Iqbal, Amjad is an sole proprietor health care provider with primary practice located at 189C Medical Way , Riverdale GA 30274-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Iqbal, Amjad can be contacted via phone (770) 991-8900.Contact Information
Primary practice address
189C Medical Way
Riverdale GA 30274-2515
Phone: (770) 991-8900
Fax: (770) 991-8917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 20280 | Georgia |
Profile Details
| NPI number | 1336206531 |
|---|---|
| LBN Legal business name | Iqbal, Amjad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336206531 | NPPES |
| Georgia | MEDICAID | 00182905B |
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