Healthcare Provider Details

I. General information

NPI: 1710508148
Provider Name (Legal Business Name): SABA IQBAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date: 01/10/2022
Reactivation Date: 03/09/2022

III. Provider practice location address

1638 OWEN DR
FAYETTEVILLE NC
28304-3424
US

IV. Provider business mailing address

82-68 164TH STREET
JAMAICA NY
11432
US

V. Phone/Fax

Practice location:
  • Phone: 718-883-3000
  • Fax:
Mailing address:
  • Phone: 718-883-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number202300802
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number202300802
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: