Individual
DR. IKRAM UL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6411 FANNIN ST, HP 9137, HOUSTON, TX 77030-1501
(713) 704-2238
(713) 704-3546
Mailing address
6431 FANNIN ST, MSB 3.228, HOUSTON, TX 77030-1501
(713) 500-5650
(713) 500-0588
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
FTL 42583
TX
2080P0203X
Pediatric Critical Care Medicine Physician
ME84732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201562001
—
TX
01
—
201562002
CSHCN
TX
05
—
264277800
—
FL
01
—
8BZ673
BCBSTX
TX
Enumeration date
07/21/2006
Last updated
07/28/2009
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