Provider Demographics
NPI:1841391737
Name:IQBAL, JAVED (MD)
Entity type:Individual
Prefix:
First Name:JAVED
Middle Name:
Last Name:IQBAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2201 HEMPSTEAD TPKE
Mailing Address - Street 2:BUILDING B ROOM 346
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1859
Mailing Address - Country:US
Mailing Address - Phone:516-572-8714
Mailing Address - Fax:516-465-1830
Practice Address - Street 1:111 EAST 210TH STREET
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-8442
Practice Address - Fax:516-465-1830
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-02-18
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Provider Licenses
StateLicense IDTaxonomies
NY258483207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02802615Medicaid