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Individual
DR. IFTIKHAR FAZAL HAQ
Active
Individual
DR. IFTIKHAR FAZAL HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80804
BLUE CROSS BLUE SHIELD
FL
05
—
PENDING
—
FL
Enumeration date
08/25/2005
Last updated
12/18/2019
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