Iqbal, Nusrum

Iqbal, Nusrum is an sole proprietor health care provider with primary practice located at 75 Colonia De Salud Suite 200C, Sierra Vista AZ 85635-2487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Iqbal, Nusrum can be contacted via phone (520) 335-2800.

Contact Information

Primary practice address
75 Colonia De Salud Suite 200C Sierra Vista AZ 85635-2487
Fax: (520) 335-2804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32359 Arizona

Profile Details

NPI number 1538191929
LBN Legal business name Iqbal, Nusrum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 10th, 2011 - 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 1538191929 NPPES
Arizona MEDICAID 836033
Arizona Other DR2642
Arizona Other Z140497
Arizona Other P00915869
Arizona Other Z140498
Arizona Other Z144296

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