Provider Demographics
NPI:1841422839
Name:LONE, TAHIR IQBAL (MD)
Entity type:Individual
Prefix:
First Name:TAHIR
Middle Name:IQBAL
Last Name:LONE
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 1:720 E PHILIP AVE
Mailing Address - Street 2:APT 103
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6130
Mailing Address - Country:US
Mailing Address - Phone:308-520-8870
Mailing Address - Fax:
Practice Address - Street 1:720 E PHILIP AVE
Practice Address - Street 2:APT 103
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6130
Practice Address - Country:US
Practice Address - Phone:308-568-3500
Practice Address - Fax:308-568-3510
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2009-0532207RP1001X
NE27394207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026133000Medicaid
NENA1095122Medicare PIN