Provider Demographics
NPI:1801462809
Name:AHMED, IQBAL KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:IQBAL
Middle Name:KARIM
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2201 BRISTOL CIRCLE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OAKVILLE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L6H 0J8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 S MARIO CAPECCHI DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0005
Practice Address - Country:US
Practice Address - Phone:801-585-6622
Practice Address - Fax:801-581-8703
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT3082895-1205207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist