Healthcare Provider Details

I. General information

NPI: 1518143247
Provider Name (Legal Business Name): MOHAMMAD ZAFAR IQBAL M.D.,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N GEORGE MASON DR #202
ARLINGTON VA
22205-3609
US

IV. Provider business mailing address

1715 N GEORGE MASON DR #202
ARLINGTON VA
22205-3609
US

V. Phone/Fax

Practice location:
  • Phone: 703-522-0137
  • Fax: 703-522-4687
Mailing address:
  • Phone: 703-522-0137
  • Fax: 703-522-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number0101025831
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: