Individual
NASREEN HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01074292A
IN
207R00000X
Internal Medicine Physician
245973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000881075
ANTHEM PROVIDER NUMBER
IN
05
—
201236100
—
IN
Enumeration date
09/28/2010
Last updated
01/29/2021
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