Provider Demographics
NPI:1174699920
Name:IQBAL, ARSHAD (MD)
Entity type:Individual
Prefix:DR
First Name:ARSHAD
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-3310
Mailing Address - Country:US
Mailing Address - Phone:702-731-3300
Mailing Address - Fax:702-731-5540
Practice Address - Street 1:3211 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-3310
Practice Address - Country:US
Practice Address - Phone:702-731-3300
Practice Address - Fax:702-731-5540
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3567207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002922Medicaid
NV88-0190743OtherIRS TAX ID FOR CORP
NV002002922Medicaid
NVC96178Medicare UPIN