Healthcare Provider Details

I. General information

NPI: 1740267459
Provider Name (Legal Business Name): ZAFAR IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 10/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 WILMINGTON RD STE C
NEW CASTLE PA
16105-1238
US

IV. Provider business mailing address

PO BOX 707
GIBSONIA PA
15044-0707
US

V. Phone/Fax

Practice location:
  • Phone: 724-856-7238
  • Fax: 724-856-7239
Mailing address:
  • Phone: 724-856-7238
  • Fax: 724-856-7239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD044624E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD044624E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: