Healthcare Provider Details

I. General information

NPI: 1891845301
Provider Name (Legal Business Name): IQBAL I SINGH, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 MEDICAL CENTER PKWY
SELMA AL
36701-6742
US

IV. Provider business mailing address

1013 MEDICAL CENTER PKWY
SELMA AL
36701-6742
US

V. Phone/Fax

Practice location:
  • Phone: 334-875-7878
  • Fax: 334-875-7835
Mailing address:
  • Phone: 334-875-7878
  • Fax: 334-875-7835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: IQBAL I SINGH
Title or Position: OWNER
Credential:
Phone: 334-875-7878