Healthcare Provider Details

I. General information

NPI: 1528985496
Provider Name (Legal Business Name): LIVLONG MD LONGEVITY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 E MCDOWELL RD STE 209B
SCOTTSDALE AZ
85257-3870
US

IV. Provider business mailing address

1776 N SCOTTSDALE RD UNIT 133
SCOTTSDALE AZ
85252-3607
US

V. Phone/Fax

Practice location:
  • Phone: 480-269-3165
  • Fax:
Mailing address:
  • Phone: 480-269-3165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. UMAR IQBAL
Title or Position: OWNER/CMO
Credential: MD
Phone: 480-648-4510