Provider Demographics
NPI:1235170622
Name:SAEED, IQBAL (MD)
Entity Type:Individual
Prefix:
First Name:IQBAL
Middle Name:
Last Name:SAEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 DRAKE AVE SW
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-5199
Mailing Address - Country:US
Mailing Address - Phone:256-489-9741
Mailing Address - Fax:256-489-9742
Practice Address - Street 1:2227 DRAKE AVE SW
Practice Address - Street 2:SUITE 7A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5199
Practice Address - Country:US
Practice Address - Phone:256-489-9741
Practice Address - Fax:256-489-9742
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036116905Medicaid
ILK39160Medicare PIN
G34478Medicare UPIN