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Organization

CHANNEL MEDICAL GROUP, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABA HAQ MD (PRESIDENT)
(949) 463-0650
Entity
Organization

Contact information

Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(646) 389-3451
Mailing address
123 5TH AVE FL 2, NEW YORK, NY 10003-1019
(833) 447-2775

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207RR0500X
Rheumatology Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/19/2022
Last updated
03/03/2024
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