Provider Demographics
NPI:1023214202
Name:IQBAL, NADIA WASI (MD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:WASI
Last Name:IQBAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:WASI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1700 ROMANO PARK LN
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2349
Mailing Address - Country:US
Mailing Address - Phone:281-866-9995
Mailing Address - Fax:281-866-7212
Practice Address - Street 1:1700 ROMANO PARK LN
Practice Address - Street 2:PROVIDER ENROLLMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2349
Practice Address - Country:US
Practice Address - Phone:281-866-9995
Practice Address - Fax:281-866-7212
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7128207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology