Healthcare Provider Details

I. General information

NPI: 1578241816
Provider Name (Legal Business Name): SHEEL IQBAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BELK BLVD
OXFORD MS
38655-5242
US

IV. Provider business mailing address

1100 BELK BOULEVARD BAPTIST MEMORIAL HOSPITAL
OXFORD MS
38655-5242
US

V. Phone/Fax

Practice location:
  • Phone: 662-636-1000
  • Fax: 662-636-1670
Mailing address:
  • Phone: 662-636-1000
  • Fax: 662-636-1670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: