Individual
DR. REYAZ U. HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8452
(410) 225-8008
Mailing address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8452
(410) 225-8008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D51737
MD
207RI0011X
Interventional Cardiology Physician
Primary
D51737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
641735-01
BC/BS
MD
05
—
745181401
—
MD
01
—
S062-0280
BC REGIONAL
MD
Enumeration date
05/26/2006
Last updated
04/09/2015
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