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Individual

ROMY HOQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(917) 656-9748
Mailing address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(917) 656-9748

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD.201011
LA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
73431
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1502871
LA
01
4M894F600
MEDICARE - PTAN
LA
Enumeration date
05/23/2007
Last updated
02/20/2015
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