Healthcare Provider Details

I. General information

NPI: 1144290727
Provider Name (Legal Business Name): MUHAMMED IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 W CLINCH AVE SUITE 212
KNOXVILLE TN
37916-2434
US

IV. Provider business mailing address

1819 W CLINCH AVE SUITE 212
KNOXVILLE TN
37916-2434
US

V. Phone/Fax

Practice location:
  • Phone: 865-523-6418
  • Fax: 865-374-1079
Mailing address:
  • Phone: 865-523-6418
  • Fax: 865-374-1079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD29029
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: