Amin, Iqbal
Amin, Iqbal is an individual health care provider with primary practice located at 12700 Southfork Rd Suite 105, Saint Louis MO 63128-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Amin, Iqbal can be contacted via phone (318) 525-1866.Contact Information
Primary practice address
12700 Southfork Rd Suite 105
Saint Louis MO 63128-3201
Phone: (318) 525-1866
Fax: (314) 525-1868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 110953 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 110953 | Missouri |
Profile Details
| NPI number | 1184619835 |
|---|---|
| LBN Legal business name | Amin, Iqbal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jan 20th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184619835 | NPPES |
| Missouri | MEDICAID | 204876908 |
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