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NPI Code Detail

MEDICARE: DR. SALEEM IQBAL M.D.

MEDICARE:  DR. SALEEM  IQBAL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1295093862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALEEM IQBAL M.D.
Provider Business Mailing Address
First Line : 2955 SHELL RD
Second Line : APT. 3N
City : BROOKLYN
State : NY
Zip : 11224-3634
Country : US
Telephone Number : 347-681-7515
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line : LUTHERAN MEDICAL CENTER
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 347-681-7515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2012
Last Update Date : 05/02/2012

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