Provider Demographics
NPI:1518143247
Name:IQBAL, MOHAMMAD ZAFAR (MD,)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ZAFAR
Last Name:IQBAL
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:#202
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-522-0137
Mailing Address - Fax:703-522-4687
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:#202
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-522-0137
Practice Address - Fax:703-522-4687
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101025831207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00V408M23Medicare PIN
VA00B858M20Medicare PIN