Iqtidar, Ali Farooq

Iqtidar, Ali Farooq is an individual health care provider with primary practice located at 2525 W University Ave Suite 300, Muncie IN 47303-3400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Iqtidar, Ali Farooq can be contacted via phone (765) 281-2188.

Contact Information

Primary practice address
2525 W University Ave Suite 300 Muncie IN 47303-3400
Fax: (765) 281-2062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01068807A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01068807A Indiana

Profile Details

NPI number 1780781088
LBN Legal business name Iqtidar, Ali Farooq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 6th, 2022 - about 2 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 1780781088 NPPES
Indiana MEDICAID 201024120
Indiana Other P01099943
Indiana Other P01617399

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