Healthcare Provider Details

I. General information

NPI: 1174054019
Provider Name (Legal Business Name): AAMIR IQBAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 WILLOW LN STE 102
THOUSAND OAKS CA
91361-4900
US

IV. Provider business mailing address

3180 WILLOW LN STE 102
THOUSAND OAKS CA
91361-4900
US

V. Phone/Fax

Practice location:
  • Phone: 805-494-8520
  • Fax:
Mailing address:
  • Phone: 805-494-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA158421
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA158421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: