Provider Demographics
NPI:1174564983
Name:IQBAL, ARSHAD (MD)
Entity type:Individual
Prefix:DR
First Name:ARSHAD
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:012-730-6414
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:4519 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02818
Practice Address - Country:US
Practice Address - Phone:401-886-7866
Practice Address - Fax:401-886-7807
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD0926204D00000X
RIMD092962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMD09296OtherSTATE LICENCE
RIBI4898485OtherDEA NUMBER
RIMD09296OtherSTATE LICENCE
RIG53732Medicare UPIN