Healthcare Provider Details

I. General information

NPI: 1508814021
Provider Name (Legal Business Name): SABAHAT K. IQBAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350
US

IV. Provider business mailing address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350-5000
US

V. Phone/Fax

Practice location:
  • Phone: 320-234-5000
  • Fax: 320-484-4686
Mailing address:
  • Phone: 320-234-5000
  • Fax: 320-484-4686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35-087528
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number64292
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: