Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 9181 | NV |
NPI | 1073562229 |
---|---|
Provider Name | Dr. Farrukh Iqbal |
First Address | Las Vegas, NV 89117-6957 |
Second Address | Henderson, NV 89074-6391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 20/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G54502 | (02) |