Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 32411 | OK |
N | 207RC0000X | Internist - Cardiovascular Disease | 32411 | OK |
NPI | 1174753917 |
---|---|
Provider Name | Ahmad Iqbal |
First Address | Tulsa, OK 74133-5722 |
Second Address | Tulsa, OK 74104-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 21/10/2019 |