Provider Demographics
NPI:1851475222
Name:M ZAFAR IQBAL MD PC
Entity Type:Organization
Organization Name:M ZAFAR IQBAL MD PC
Other - Org Name:MOHAMMAD ZAFAR IQBAL MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OF PC
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ZAFAR
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-522-0137
Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3645
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:SUITE 202
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3645
Practice Address - Country:US
Practice Address - Phone:703-522-0137
Practice Address - Fax:703-522-4687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025831207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4465001OtherBLUE CROSS BLUE SHIELD OF
VAG01220Medicare PIN
4465001OtherBLUE CROSS BLUE SHIELD OF
D84582Medicare UPIN