Active NPI
Lotus Rehab LLC
- Addiction Medicine (Internal Medicine) Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- LOTUS REHAB LLC
- Practice address
- 104 Hardin LN Ste B
Somerset, KY 42503-3800 - Phone
- (606) 677-1112
- Fax
- (606) 679-1341
- NPI assigned
- Feb 7, 2018
- Last updated
- Jul 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibraiz Iqbal, MD
- Title
- Owner
- Phone
- (606) 677-1112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | NU | Primary |
Addresses
Primary practice location
104 Hardin LN Ste B
Somerset, KY 42503-3800
Mailing address
104 Hardin LN Ste B
Somerset, KY 42503-3800
Phone (606) 677-1112
National Provider Directory
National Provider DirectoryLocations
104 Hardin Ln
Ste B
Somerset, KY 42503
Phone (606) 677-1112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Somerset, KY
- NPI 1720067168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1033618897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HARDIN LN STE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033800",
"telephone_number": "606-677-1112",
"fax_number": "606-679-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HARDIN LN STE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033800",
"telephone_number": "606-677-1112",
"fax_number": "606-679-1341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "IBRAIZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-677-1112",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.