Provider Demographics
NPI:1609075928
Name:IQBAL, NAVEED (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:
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 1:1015 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-5791
Mailing Address - Country:US
Mailing Address - Phone:843-861-4342
Mailing Address - Fax:866-230-9736
Practice Address - Street 1:1015 S 4TH ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-5791
Practice Address - Country:US
Practice Address - Phone:843-861-4342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31421207RE0101X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC09503344OtherAETNA
SC571059347007OtherTRICARE STANDARD
SC571059347021OtherBLUECHOICE
SC20092972OtherSELECT HEALTH
SC314212Medicaid
SC000000276510OtherUNISON
SC571059347021OtherBLUECHOICE
SC571059347007OtherTRICARE STANDARD