Healthcare Provider Details

I. General information

NPI: 1942285879
Provider Name (Legal Business Name): RASHID IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 TRAVIS BLVD STE 170
FAIRFIELD CA
94533-4897
US

IV. Provider business mailing address

1261 TRAVIS BLVD STE 170
FAIRFIELD CA
94533-4897
US

V. Phone/Fax

Practice location:
  • Phone: 707-399-9200
  • Fax:
Mailing address:
  • Phone: 707-399-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA43154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: