MEDICARE: MEHREEN S IQBAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	T4396	TX
2	207L00000X	Anesthesiology Physician	69711	WI
3	207L00000X	Anesthesiology Physician	2019032504	MO
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	2019032504	MO
5	207LP2900X	Pain Medicine (Anesthesiology) Physician	T4396	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730421165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHREEN S IQBAL M.D.

Provider Business Mailing Address
First Line	:	3465 NATIONAL DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:	214-894-4530
Fax Number	:	214-894-4531

Provider Business Practice Location Address
First Line	:	3465 NATIONAL DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:	214-894-4530
Fax Number	:	214-894-4531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2013
Last Update Date	:	02/22/2024

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Directions to “ MEHREEN S IQBAL M.D.” Practice Location

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