Provider Demographics
NPI:1548233323
Name:IQBAL, MUHAMMAD JAWAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:JAWAD
Last Name:IQBAL
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 1:422 S KING ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3704
Mailing Address - Country:US
Mailing Address - Phone:910-276-2100
Mailing Address - Fax:
Practice Address - Street 1:422 S KING ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3704
Practice Address - Country:US
Practice Address - Phone:910-276-2100
Practice Address - Fax:910-276-2111
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300248207RC0200X, 207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012E4Medicaid
H94343Medicare UPIN
NC2017262Medicare PIN