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

Phool Iqbal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457086381

Phool Iqbal is an Internal Medicine in West Plains, Missouri. Qualified in 2016, 10 years ago. Practices with Missouri Delta Medical Center, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone: (417) 256-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 170 E 100th St Apt 1w, New York, NY 10029-6227 — (929) 406-4494

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2025026547 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457086381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address1901 1st Ave Fl 15, New York, NY 10029-7494

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Missouri Delta Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Plains