Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 0101025831 | VA |
NPI | 1518143247 |
---|---|
Provider Name | Dr. Mohammad Zafar Iqbal |
First Address | Arlington, VA 22205-3609 |
Second Address | Arlington, VA 22205-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2008 |
Last Update Date | 11/01/2008 |