Individual
AEJAZ UL HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5711
(228) 872-1951
(228) 875-9998
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29280
MS
207RP1001X
Pulmonary Disease Physician
Primary
29280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03422278
—
MS
Enumeration date
06/26/2015
Last updated
08/11/2022
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