Active NPI
Sarwat a Iqbal MD PC
- Adult Medicine Physician
- Philadelphia, PA
National Provider Identifier
1831489509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- MD039666L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011423861-0001 | Medicaid | PA | |
| 532164 | Other | MEDICARE ID |
National Provider Directory
National Provider DirectoryNPI 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.