Healthcare Provider Details

I. General information

NPI: 1548589674
Provider Name (Legal Business Name): SAAD IQBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2010
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22999 HIGHWAY 59 N
KINGWOOD TX
77339-4412
US

IV. Provider business mailing address

1415 NORTH LOOP W SUITE 240
HOUSTON TX
77008-1664
US

V. Phone/Fax

Practice location:
  • Phone: 281-348-8000
  • Fax:
Mailing address:
  • Phone: 713-426-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number7390
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberQ7713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: