Individual
MAHFUZUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W 5TH ST, SUITE 5, GREENVILLE, NC 27834-2888
(252) 744-2207
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200300110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1330E
BCBS NC
NC
05
—
891330E
—
NC
01
—
P00013007
RAILROAD MEDICARE
NC
Enumeration date
08/17/2005
Last updated
03/31/2010
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