Individual
DR. MOHAMMED SIRAJUL HAQ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 E 9 MILE RD, HAZEL PARK, MI 48030-1842
(248) 541-2800
(248) 548-5385
Mailing address
624 E 9 MILE RD, HAZEL PARK, MI 48030-1842
(248) 541-2800
(248) 548-5385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MH045683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100071
MOLINA HEALTH CARE
MI
01
—
101861
GREAT LAKES HEALTH PLAN
MI
01
—
1106317002
BCBS
MI
01
—
201041
ULTIMED
MI
01
—
D91370
HAP
MI
Enumeration date
01/03/2006
Last updated
07/08/2007
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