Provider Demographics
NPI:1922311927
Name:MEMON, IQBAL AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:IQBAL
Middle Name:AHMAD
Last Name:MEMON
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 1:18G 7TH GIZRI STREET DHA PHASE IV
Mailing Address - Street 2:
Mailing Address - City:KARACHI
Mailing Address - State:SINDH
Mailing Address - Zip Code:75500
Mailing Address - Country:PK
Mailing Address - Phone:0092334-399-4259
Mailing Address - Fax:0092213-587-5838
Practice Address - Street 1:4210 VINCENNES PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2745
Practice Address - Country:US
Practice Address - Phone:504-861-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.04579R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics