Healthcare Provider Details

I. General information

NPI: 1336428820
Provider Name (Legal Business Name): ASNEHA SHIREEN IQBAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 BATH ST
SANTA BARBARA CA
93105-4324
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-879-4240
  • Fax: 805-749-2862
Mailing address:
  • Phone: 805-879-4240
  • Fax: 805-749-2862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberC171664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: