Provider Demographics
NPI:1205015211
Name:IQBAL, MARVI (MD , MPH)
Entity Type:Individual
Prefix:DR
First Name:MARVI
Middle Name:
Last Name:IQBAL
Suffix:
Gender:F
Credentials:MD , MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 WALKER ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1747
Mailing Address - Country:US
Mailing Address - Phone:714-670-1261
Mailing Address - Fax:714-670-2873
Practice Address - Street 1:7851 WALKER ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1747
Practice Address - Country:US
Practice Address - Phone:714-670-1261
Practice Address - Fax:714-670-2873
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98780207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology