Healthcare Provider Details

I. General information

NPI: 1205050457
Provider Name (Legal Business Name): SARA N IQBAL M.D., F.A.C.O.G.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW 3800 NORTH
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-6093
  • Fax:
Mailing address:
  • Phone: 202-877-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD035020
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: