Provider Demographics
NPI:1558507962
Name:AHMED, SAUD IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUD
Middle Name:IQBAL
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1104 E STATE HIGHWAY 152
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73063
Mailing Address - Country:US
Mailing Address - Phone:405-376-9544
Mailing Address - Fax:405-376-1831
Practice Address - Street 1:1104 E STATE HIGHWAY 152
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73063
Practice Address - Country:US
Practice Address - Phone:405-376-9544
Practice Address - Fax:405-376-1831
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ41939207RI0200X
OK29704207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease