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Contact Information

MOHAMMAD J. IQBAL
1230 WOODLAND DR
SUITE 110
ELIZABETHTOWN, KY42701-2766
 Phone: 270-769-3631
 Fax: 270-769-3996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MOHAMMAD J. IQBAL

NPI Number 1538336094
LBN Legal business name MOHAMMAD J. IQBAL
Authorized official MOHAMMAD IQBAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2008
Last updated 05/15/2008 - About 18 years ago
Identifiers
KY License # 18016
KY Medicaid 64180169
KY Other 000000045927 ANTHEM KY
KY Other 1049089 PASSPORT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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