Provider Demographics
NPI:1265679138
Name:SINGH, IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:IQBAL
Middle Name:
Last Name:SINGH
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:WAKE FOREST UNIVERSITY HEALTH SCIENCES
Mailing Address - Street 2:MEDICAL CENTER BOULEVARD, DEPARTMENT OF UROLOGY
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157
Mailing Address - Country:US
Mailing Address - Phone:336-716-4195
Mailing Address - Fax:
Practice Address - Street 1:WAKE FOREST UNIVERSITY HEALTH SCIENCES
Practice Address - Street 2:MEDICAL CENTER BOULEVARD, DEPARTMENT OF UROLOGY
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157
Practice Address - Country:US
Practice Address - Phone:336-716-4195
Practice Address - Fax:336-716-3202
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01941208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology