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Individual

NISAR HAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2450 KIPLING AVE, STE G11, CINCINNATI, OH 45239-6600
(513) 981-4180
(513) 853-5600
Mailing address
6540 WINTON RD, STE G11, CINCINNATI, OH 45224-1391
(513) 981-4180
(513) 853-5600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35072060
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2053110
OH
Enumeration date
03/23/2006
Last updated
06/16/2016
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