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General NPI Number Information
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NPI Number | 1215002910
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Entity Type | Organization
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Legal Business Name | SUNDER M IQBAL MD PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5606 BEAR ROAD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-1648
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Country | US
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Telephone | 315-458-0582
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Fax | 315-458-5390
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Provider Business Mailing Address
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Address Line | 5606 BEAR ROAD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-1648
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Country | US
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Telephone | 315-458-0582
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Fax | 315-458-5390
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNDER MASIH IQBAL
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Credential | MD
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Telephone | 315-458-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1053671
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License Number State | NY
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