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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184619835 NPPES
Missouri MEDICAID 204876908

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