Individual
SUHAIL I HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 S ROY WILKINS AVE, LOUISVILLE, KY 40203-2072
(502) 561-0520
(502) 561-0521
Mailing address
720 W BROADWAY STE 202, LOUISVILLE, KY 40202-3245
(502) 561-0943
(502) 561-0944
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35219
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
35219
KY
208VP0000X
Pain Medicine Physician
01047434A
IN
208VP0000X
Pain Medicine Physician
35219
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200329370
—
IN
05
—
64037195
—
KY
Enumeration date
05/11/2006
Last updated
12/13/2024
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