Provider Demographics
NPI:1396932125
Name:NATASYA IKBAL, MD PA
Entity type:Organization
Organization Name:NATASYA IKBAL, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:NATASYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:IKBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-823-7900
Mailing Address - Street 1:411 N WASHINGTON AVE
Mailing Address - Street 2:STE 2700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1713
Mailing Address - Country:US
Mailing Address - Phone:214-823-7900
Mailing Address - Fax:469-916-9780
Practice Address - Street 1:411 N WASHINGTON AVE
Practice Address - Street 2:STE 2700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1713
Practice Address - Country:US
Practice Address - Phone:214-823-7900
Practice Address - Fax:469-916-9780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6208207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty