Iqbal, Ayesha
Iqbal, Ayesha is an individual health care provider with primary practice located at 711 Canton Rd Ne Ste 300 , Marietta GA 30060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Iqbal, Ayesha can be contacted via phone (678) 741-5000.Contact Information
Primary practice address
711 Canton Rd Ne Ste 300
Marietta GA 30060
Phone: (678) 741-5000
Fax: (678) 819-4280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007054 | Georgia |
Profile Details
| NPI number | 1639500945 |
|---|---|
| LBN Legal business name | Iqbal, Ayesha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2013 |
| Last updated | Dec 27th, 2019 - about 7 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 | 1639500945 | NPPES |
| Georgia | MEDICAID | 003141732A |
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