Individual
DR. IHTSHAM UL HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 NW 14TH ST STE 1363, MIAMI, FL 33136-2107
(305) 243-5823
(305) 243-4713
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2009-01176
NC
2084N0400X
Neurology Physician
Primary
ME146527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912174
—
NC
Enumeration date
11/28/2006
Last updated
10/27/2020
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