MEDICARE: DR. MOHAMMAD ASIF IQBAL MD

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	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	230025	NY
2	174400000X	Specialist	230025	NY
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	230025	NY
4	208D00000X	General Practice Physician	230025	NY
5	208100000X	Physical Medicine & Rehabilitation Physician	230025	NY

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	:	1801824388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD ASIF IQBAL MD

Provider Business Mailing Address
First Line	:	17 CORTLAND CT
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-4309
Country	:	US
Telephone Number	:	646-287-9405
Fax Number	:	866-637-2007

Provider Business Practice Location Address
First Line	:	1219 LIBERTY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3411
Country	:	US
Telephone Number	:	646-287-9405
Fax Number	:	866-637-2007

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/28/2024

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