Individual
MOHAMMAD Z HOQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1116 N 16TH ST, SUITE A, LAFAYETTE, IN 47904-2119
(765) 448-8000
(765) 448-8054
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
27466
NE
207RI0011X
Interventional Cardiology Physician
Primary
01074113A
IN
207RI0011X
Interventional Cardiology Physician
27466
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000876778
ANTHEM PROVIDER NUMBER
IN
05
—
201227500
—
IN
05
—
5905041
—
NC
Enumeration date
07/21/2006
Last updated
01/14/2021
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