Individual
ATA ULHAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 FOREST PARK CIR, PANAMA CITY, FL 32405-4916
(850) 248-7777
(850) 248-7779
Mailing address
201 FOREST PARK CIR, PANAMA CITY, FL 32405-4916
(850) 248-7777
(850) 248-7779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35047809U
OH
207R00000X
Internal Medicine Physician
Primary
35047809
OH
2083X0100X
Occupational Medicine Physician
35047809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221328
UNISON
OH
01
—
000000503555
ANTHEM
OH
05
—
0011849960019
—
PA
05
—
0610191
—
OH
01
—
364089
WELLCARE
OH
01
—
4092373
AETNA
OH
01
—
744087
BUCKEYE
OH
01
—
P00194304
RAILROAD MEDICARE
OH
01
—
P00374611
RAILROAD MEDICARE
OH
Enumeration date
12/14/2005
Last updated
11/09/2022
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