Iqra Maryam, M.B.B.S

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

114017 Issued in GA

Practice address

3950 Austell Rd
Austell, GA 30106-1121

Phone

(470) 267-2000

Fax

(470) 986-7056

NPI assigned

Jun 29, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1497672737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 AUSTELL RD APT 4305",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062236",
            "telephone_number": "347-264-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "470-267-2000",
            "fax_number": "470-986-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAM",
        "first_name": "IQRA",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "114017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marnita Stevenson DMD Holdings, LLC
• Leisa L Marshall, PHARM.D., CGP
• Melissa Anne Martel, PA-C
• Jose Marti, PA-C
• Rishab Martins
• Elizabeth K Massey, P.A.
• Sibil Mathew, MD
• Precious Shawntonaz Mathews, LMT
• John Michael Matte
• Delano St.Aubyn Maxam Jr., PT, DPT

• Student in an Organized Health Care Education/Training Program in Austell, GA
• Providers in Austell, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.