Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 91778 | OH |
N | 111NI0900X | Internist | 91778 | OH |
N | 207R00000X | Internist | MD436954 | PA |
N | 111NI0900X | Internist | MD436954 | PA |
Y | 207RN0300X | Nephrologist | 13474 | ND |
NPI | 1013176759 |
---|---|
Provider Name | Iqbal Masood |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2008 |
Last Update Date | 28/09/2020 |