Healthcare Provider Details

I. General information

NPI: 1316975956
Provider Name (Legal Business Name): ALEEM IQBAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 GREENWAY CENTER DR SUITE T-8
GREENBELT MD
20770-3509
US

IV. Provider business mailing address

7525 GREENWAY CENTER DR SUITE T-8
GREENBELT MD
20770-3509
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-4552
  • Fax: 301-982-0480
Mailing address:
  • Phone: 301-982-4552
  • Fax: 301-982-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0026428
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: