Iftekhar, Riffat
Iftekhar, Riffat is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 201, Peoria IL 61603-3105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iftekhar, Riffat can be contacted via phone (888) 627-5673.Contact Information
Primary practice address
420 Ne Glen Oak Ave Suite 201
Peoria IL 61603-3105
Phone: (888) 627-5673
Fax: (309) 683-5669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2007011377 | Missouri |
Profile Details
| NPI number | 1629282546 |
|---|---|
| LBN Legal business name | Iftekhar, Riffat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jan 3rd, 2014 - about 12 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 | 1629282546 | NPPES |
| Illinois | Other | 036.113738 | STATE MEDICAL LICENSE |
| Illinois | Other | 2007011377 | STATE MEDICAL LICENSE |
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