Healthcare Provider Details

I. General information

NPI: 1952275059
Provider Name (Legal Business Name): ARSALAN ZAFAR IQBAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 ALCORN DR
CORINTH MS
38834-9388
US

IV. Provider business mailing address

179 JUMPER LN
CORINTH MS
38834-6033
US

V. Phone/Fax

Practice location:
  • Phone: 857-777-9040
  • Fax:
Mailing address:
  • Phone: 857-777-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT-5963
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: