Provider Demographics
NPI:1063650489
Name:IQBAL, INTIKHAB (MD)
Entity type:Individual
Prefix:
First Name:INTIKHAB
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5000 CAMPUSWOOD DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057
Mailing Address - Country:US
Mailing Address - Phone:315-234-6677
Mailing Address - Fax:315-234-4808
Practice Address - Street 1:5000 CAMPUSWOOD DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057
Practice Address - Country:US
Practice Address - Phone:315-234-6677
Practice Address - Fax:315-234-4808
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2024-07-10
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Provider Licenses
StateLicense IDTaxonomies
NY259109207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine