MEDICARE: RAZA 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
1	207RI0200X	Infectious Disease Physician	A53318	CA

General Provider Information

NPI Number	:	1790886869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAZA IQBAL M.D.

Provider Business Mailing Address
First Line	:	21520 YORBA LINDA BLVD
Second Line	:	SUITE G 558
City	:	YORBA LINDA
State	:	CA
Zip	:	92887-3762
Country	:	US
Telephone Number	:	714-896-9697
Fax Number	:	714-896-8757

Provider Business Practice Location Address
First Line	:	21520 YORBA LINDA BLVD
Second Line	:	SUITE G 558
City	:	YORBA LINDA
State	:	CA
Zip	:	92887-3762
Country	:	US
Telephone Number	:	714-896-9697
Fax Number	:	714-896-8757

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/06/2008

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Directions to “ RAZA IQBAL M.D.” Practice Location

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