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
Fax: (309) 683-5669
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629282546 NPPES
Illinois Other 036.113738 STATE MEDICAL LICENSE
Illinois Other 2007011377 STATE MEDICAL LICENSE

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