Healthcare Provider Details

I. General information

NPI: 1013269612
Provider Name (Legal Business Name): AHMAD IQBAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMAD AHMAD IQBAL M.D.

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 04/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GEISINGER MEDICAL CTR 100 NORTH ACADEMY AVENUE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

3 ERIN DR
DANVILLE PA
17821-8478
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6211
  • Fax:
Mailing address:
  • Phone: 559-786-5494
  • Fax:

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: