| Ajaz Iqbal, MD | |
|
909 E State Blvd, Fort Wayne, IN 46805-3404 | |
| (206) 481-2700 | |
| Not Available |
| Full Name | Ajaz Iqbal |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 909 E State Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477616753 | NPI | - | NPPES |
| OVN1777 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0420009697 (Vermont) | Primary |
| Entity Name | Park Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajaz Iqbal, MD 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (206) 481-2700 | Ajaz Iqbal, MD 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (206) 481-2700 |
Michelle Elise Wiese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
Mrs. Eunice Wanjiku Hahn, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-206-7830 | |
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425 | |
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034 | |
Jason A Santiago, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 | |
Dr. Marlene Clare Bultemeyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 | |
Larry H. Lambertson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 |