Organization Active NPI

Sarwat a Iqbal MD PC

  • Adult Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1831489509
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD039666L Issued in PA
Legal business name
SARWAT A IQBAL MD PC
Practice address
4104 N 5TH St
Philadelphia, PA 19140-2614
Phone
(215) 223-0200
Fax
(267) 319-1769
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Authorized official

Name
Sarwat Azma Iqbal, MD
Title
President
Phone
(610) 520-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X MD039666L PA Primary

Addresses

Primary practice location

4104 N 5TH St
Philadelphia, PA 19140-2614

Mailing address

4104 N 5TH St
Philadelphia, PA 19140-2614
Phone (215) 223-0200

Other identifiers 2

IdentifierTypeStateIssuer
0011423861-0001MedicaidPA
532164OtherMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1831489509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402614",
            "telephone_number": "215-223-0200",
            "fax_number": "267-319-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402614",
            "telephone_number": "215-223-0200",
            "fax_number": "267-319-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARWAT A IQBAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "SARWAT",
        "authorized_official_middle_name": "AZMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-520-9440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD039666L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011423861-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "532164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.