Individual
MAHMUDUL HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1648 DERBY GLEN DR, ORLANDO, FL 32837-8131
(407) 760-4598
Mailing address
1648 DERBY GLEN DR, ORLANDO, FL 32837-8131
(407) 760-4598
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME87452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109396000
—
FL
Enumeration date
06/15/2006
Last updated
12/01/2021
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