Malik, Masud Iqubal

Malik, Masud Iqubal is an sole proprietor health care provider with primary practice located at 3865 North Mulford Road , Rockford IL 61114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Malik, Masud Iqubal can be contacted via phone (815) 399-2190.

Contact Information

Primary practice address
3865 North Mulford Road Rockford IL 61114
Phone: (815) 399-2190
Fax: (815) 399-5543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-110588 Illinois

Profile Details

NPI number 1679580807
LBN Legal business name Malik, Masud Iqubal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 23rd, 2014 - about 11 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 1679580807 NPPES
Illinois Other 214298 MEDICARE ID UNSPECIFIED
Illinois MEDICAID 036110588 MEDICARE ID UNSPECIFIED

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