Organization Active NPI

Farrukh Iqbal MD, LTD.

  • Endocrinology, Diabetes & Metabolism Physician
  • Henderson, NV
National Provider Identifier
1861672735
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
9181 Issued in NV
Legal business name
FARRUKH IQBAL MD, LTD.
Practice address
100 N Green Valley Pkwy Ste 332
Henderson, NV 89074-7705
Phone
(702) 450-5002
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Farrukh Iqbal, MDNPI 1073562229
Title
President
Phone
(702) 450-5002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 9181 NV Primary

Addresses

Primary practice location

100 N Green Valley Pkwy Ste 332
Henderson, NV 89074-7705

Mailing address

100 N Green Valley Pkwy Ste 332
Henderson, NV 89074-7705
Phone (702) 450-5002

Other identifiers 1

IdentifierTypeStateIssuer
1073562229OtherNVNPI ( INDIVIDUAL)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001084 NV Part B Supplier - Clinic/Group Practice 6608768692 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

100 N Green Valley Pkwy
Ste 332
Henderson, NV 89074
Phone (702) 450-5002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1861672735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 332",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705",
            "telephone_number": "702-450-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 332",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705",
            "telephone_number": "702-450-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRUKH IQBAL MD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "FARRUKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-450-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "9181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ( INDIVIDUAL)",
            "identifier": "1073562229",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.