Provider Demographics
NPI:1972071314
Name:IQBAL, SYEDA HOORIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SYEDA
Middle Name:HOORIA
Last Name:IQBAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HOORIA
Other - Middle Name:
Other - Last Name:IQBAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2900 TREE SWALLOW CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-8108
Mailing Address - Country:US
Mailing Address - Phone:916-753-5698
Mailing Address - Fax:
Practice Address - Street 1:9260 ELK GROVE BLVD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2103
Practice Address - Country:US
Practice Address - Phone:916-686-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA796651835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist