Provider Demographics
NPI:1861672735
Name:FARRUKH IQBAL MD, LTD.
Entity Type:Organization
Organization Name:FARRUKH IQBAL MD, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARRUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-450-5002
Mailing Address - Street 1:100 N GREEN VALLEY PKWY STE 332
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7705
Mailing Address - Country:US
Mailing Address - Phone:702-450-5002
Mailing Address - Fax:
Practice Address - Street 1:100 N GREEN VALLEY PKWY STE 332
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7705
Practice Address - Country:US
Practice Address - Phone:702-450-5002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9181207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1073562229OtherNPI ( INDIVIDUAL)
NV1073562229OtherNPI ( INDIVIDUAL)