Individual
IBRAHIM HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5250
Mailing address
51579 CALEDONIAN DR, GRANGER, IN 46530-4272
(574) 514-1862
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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