Individual
REHAN A HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 E OHIO ST, INDIANAPOLIS, IN 46204-4600
(317) 200-1822
Mailing address
530 E OHIO ST, INDIANAPOLIS, IN 46204-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME93282
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01071551A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME93282
FL
207RP1001X
Pulmonary Disease Physician
Primary
01071551A
IN
207RP1001X
Pulmonary Disease Physician
ME93282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273164900
—
FL
01
—
28729
BLUE CROSS BLUE SHIELD
FL
01
—
P01261822
MEDICARE RR PTAN
IN
Enumeration date
07/28/2006
Last updated
12/28/2017
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