Provider Demographics
NPI:1437291994
Name:IQBAL, NAYYER (MD)
Entity type:Individual
Prefix:
First Name:NAYYER
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:APALACHEE CENTER, INC
Mailing Address - Street 2:2634-J CAPITAL CIRCLE, NE
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4106
Mailing Address - Country:US
Mailing Address - Phone:850-523-3333
Mailing Address - Fax:850-523-3411
Practice Address - Street 1:APALACHEE CENTER, INC.
Practice Address - Street 2:2634-J CAPITAL CIRCLE, NE
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4106
Practice Address - Country:US
Practice Address - Phone:850-523-3333
Practice Address - Fax:850-523-3411
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 915452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA278010100Medicaid
FL278010100Medicaid
GA278010100Medicaid