Iqbal, Ibraiz

Iqbal, Ibraiz is an sole proprietor health care provider with primary practice located at 104 Hardin Ln Suite B, Somerset KY 42503-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Iqbal, Ibraiz can be contacted via phone (606) 677-1112.

Contact Information

Primary practice address
104 Hardin Ln Suite B Somerset KY 42503-3800
Phone: (606) 677-1112
Fax: (606) 679-1341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 38636 Kentucky

Profile Details

NPI number 1720067168
LBN Legal business name Iqbal, Ibraiz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Jul 7th, 2020 - about 4 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 1720067168 NPPES
Kentucky Other P00147774 PALMETTO GBA
Kentucky Other 000000336184 PALMETTO GBA
Kentucky Other 000000336184 PALMETTO GBA
Kentucky MEDICAID 64082605 PALMETTO GBA

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