Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marium Iqbal

Individual provider Family Medicine Physician · NPI 1215679782

Marium Iqbal is a Family Practice in O Fallon, Missouri. Qualified in 2025, 1 year ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2022
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Practice location Address checks out

301 Caledonia Pkwy Ste 150
O Fallon, MO 63368-6690
Phone: (636) 202-6802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Clinic Dr, Madisonville, KY 42431-1661 — (270) 825-6680

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R6258 (MO)

Record details

NPI number1215679782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address200 Clinic Dr, Madisonville, KY 42431-1661

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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