Healthcare Provider Details

I. General information

NPI: 1710906367
Provider Name (Legal Business Name): JAVED IQBAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S STERLING ST
MORGANTON NC
28655-3938
US

IV. Provider business mailing address

308 WHITE ST APT. E
MORGANTON NC
28655-3590
US

V. Phone/Fax

Practice location:
  • Phone: 828-433-2111
  • Fax: 828-433-2242
Mailing address:
  • Phone: 828-308-8734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number9900549
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: