Healthcare Provider Details

I. General information

NPI: 1235170622
Provider Name (Legal Business Name): IQBAL SAEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 DRAKE AVE SW SUITE 7A
HUNTSVILLE AL
35805-5199
US

IV. Provider business mailing address

2227 DRAKE AVE SW SUITE 7A
HUNTSVILLE AL
35805-5199
US

V. Phone/Fax

Practice location:
  • Phone: 256-489-9741
  • Fax: 256-489-9742
Mailing address:
  • Phone: 256-489-9741
  • Fax: 256-489-9742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036116905
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: