National Provider Identifier Database

NUSRUM IQBAL MD PLLC
Health Service


Contact Information

NUSRUM IQBAL, MD PLLC
75 COLONIA DE SALUD STE 200C
SIERRA VISTA, AZ85635-2486
Phone: 520-335-2800
Fax: 520-335-2804
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for NUSRUM IQBAL, MD PLLC

NPI Number 1679886246
Legal business name
LBN
NUSRUM IQBAL, MD PLLC
Authorized official NUSRUM IQBAL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2010
Last updated 03/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 32359
  • AZ Medicaid: 836033
  • AZ Other: Z 140498 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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