Individual
MR. IKRAM UL HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 913-9294
(850) 481-1820
Mailing address
PO BOX 1442, LYNN HAVEN, FL 32444-6242
(850) 913-9294
(850) 481-1820
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0075189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110230818
MEDICARE RAILROAD
FL
05
—
258243100
—
FL
01
—
47246
BCBS OF FL
FL
Enumeration date
07/12/2006
Last updated
03/18/2015
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