Provider Demographics
NPI:1316127236
Name:IQBAL, MUHAMMAD REHMAT (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:REHMAT
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 1:805 CLIFTON HEIGHTS LANE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4254
Mailing Address - Country:US
Mailing Address - Phone:404-486-0991
Mailing Address - Fax:
Practice Address - Street 1:805 CLIFTON HEIGHTS LANE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4254
Practice Address - Country:US
Practice Address - Phone:404-486-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine