MEDICARE: DR. MOHAMMAD IQBAL MUGHAL 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	207R00000X	Internal Medicine Physician	E8747	TX

General Provider Information

NPI Number	:	1891808333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD IQBAL MUGHAL M.D.

Provider Business Mailing Address
First Line	:	1412 MAY ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7639
Country	:	US
Telephone Number	:	817-625-8818
Fax Number	:	817-625-7850

Provider Business Practice Location Address
First Line	:	1412 MAY ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7639
Country	:	US
Telephone Number	:	817-625-8818
Fax Number	:	817-625-7850

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/19/2023

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