Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME80570 | FL |
NPI | 1174534473 |
---|---|
Provider Name | Dr. Shahid Iqbal |
First Address | Tampa, FL 33634-4904 |
Second Address | Tampa, FL 33634-4904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 06/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104722300 | (05) | FL |
H44072 | (02) | FL |