Individual
AILEEN FARHA HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(800) 465-3203
Mailing address
3150 WOODWARD AVE APT 551, DETROIT, MI 48201-2755
(248) 787-8108
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/05/2022
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