Provider Demographics
NPI:1295835296
Name:ZAFAR IQBAL,M.D. AND ASSOCIATES,INC
Entity Type:Organization
Organization Name:ZAFAR IQBAL,M.D. AND ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-431-0253
Mailing Address - Street 1:PO BOX 707
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-0707
Mailing Address - Country:US
Mailing Address - Phone:724-431-0253
Mailing Address - Fax:724-431-0254
Practice Address - Street 1:118 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5741
Practice Address - Country:US
Practice Address - Phone:724-431-0253
Practice Address - Fax:724-431-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044624E207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012196700002Medicaid
PAE65177Medicare UPIN
DB1972Medicare PIN
074888Medicare PIN