Organization
BAY INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKRAM HAQ (MD)
(850) 913-9294
Entity
Organization
Contact information
Practice address
750 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 913-9294
Mailing address
750 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 913-9294
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0075189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014620600
—
FL
Enumeration date
01/21/2015
Last updated
06/15/2015
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