Provider Demographics
NPI:1821433095
Name:IQBAL, SAQIB (DO)
Entity Type:Individual
Prefix:
First Name:SAQIB
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3101 SHIPPERS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2082
Mailing Address - Country:US
Mailing Address - Phone:607-786-4822
Mailing Address - Fax:607-251-2010
Practice Address - Street 1:3101 SHIPPERS RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2080
Practice Address - Country:US
Practice Address - Phone:607-786-4822
Practice Address - Fax:607-763-5234
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY277385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine