Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD0926 | RI |
N | 2084N0400X | Neurologist | MD09296 | RI |
NPI | 1174564983 |
---|---|
Provider Name | Dr. Arshad Iqbal |
First Address | Warwick, RI 02818 |
Second Address | Warwick, RI 02818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 13/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BI4898485 | DEA NUMBER (01) | RI |
G53732 | (02) | RI |
MD09296 | STATE LICENCE (01) | RI |