Individual provider Active NPI

Iqbal Ahmad Memon, M.D

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1922311927
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.04579R Issued in LA
Practice address
4210 Vincennes PL
New Orleans, LA 70125-2745
Phone
(504) 861-2805
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.04579R LA Primary

Addresses

Primary practice location

4210 Vincennes PL
New Orleans, LA 70125-2745

Mailing address

18G 7TH Gizri Street Dha Phase IV
Karachi, SINDH 75500
PK
Phone 00923343994259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.04579RLAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1922311927",
    "addresses": [
        {
            "country_code": "PK",
            "country_name": "Pakistan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "18G 7TH GIZRI STREET DHA PHASE IV",
            "city": "KARACHI",
            "state": "SINDH",
            "postal_code": "75500",
            "telephone_number": "00923343994259",
            "fax_number": "00922135875838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 VINCENNES PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701252745",
            "telephone_number": "504-861-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "IQBAL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.04579R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.