Provider Demographics
NPI:1174987739
Name:IQBAL, SUMAIYA (MD)
Entity type:Individual
Prefix:
First Name:SUMAIYA
Middle Name:
Last Name:IQBAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 STELTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5200
Mailing Address - Country:US
Mailing Address - Phone:848-230-6810
Mailing Address - Fax:848-230-6832
Practice Address - Street 1:1080 STELTON RD STE 1
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5200
Practice Address - Country:US
Practice Address - Phone:848-230-6810
Practice Address - Fax:848-230-6832
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297176207R00000X
NJ25MA11742400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine