Provider Demographics
NPI:1982627469
Name:IQBAL, RASHID (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHID
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RASHID
Other - Middle Name:
Other - Last Name:IQBAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:669 S VANDYKE RD
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-2433
Mailing Address - Country:US
Mailing Address - Phone:989-269-9265
Mailing Address - Fax:989-269-3044
Practice Address - Street 1:669 S VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1111
Practice Address - Country:US
Practice Address - Phone:989-269-9265
Practice Address - Fax:989-269-3044
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062180207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4258180Medicaid
MIG13988Medicare UPIN
MI0N21540Medicare ID - Type Unspecified