Individual
DR. RUSSELL MAHMUDUL HUQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W AIRPORT FWY STE 100, IRVING, TX 75062-6206
(214) 952-6074
Mailing address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8000
(270) 338-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29905
OK
207P00000X
Emergency Medicine Physician
45542
KY
207P00000X
Emergency Medicine Physician
Primary
S3534
TX
207Q00000X
Family Medicine Physician
2009026103
MO
207Q00000X
Family Medicine Physician
29905
OK
207Q00000X
Family Medicine Physician
45542
KY
207Q00000X
Family Medicine Physician
BP10030099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447412770
RH MEDICAID
MO
05
—
7100215160
—
KY
01
—
P01205237
MEDICARE RAILROAD
KY
Enumeration date
09/25/2007
Last updated
07/19/2021
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