Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
261QH0100X |
| NPI # | 1679886246 |
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| LBN Legal business name | NUSRUM IQBAL, MD PLLC | ||||||||||||
| Authorized official | NUSRUM IQBAL - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/23/2010 | ||||||||||||
| Last updated | 03/08/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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