Individual
DR. FAZLUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 US HIGHWAY 90 STE 103, DAPHNE, AL 36526-9510
(256) 701-5651
(256) 429-9411
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
191787
NY
2084P0800X
Psychiatry Physician
Primary
MD.50770
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/16/2006
Last updated
03/14/2025
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