Individual
DR. TANEEMUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7612
Mailing address
325 W WATERS EDGE DR, BELLEVILLE, IL 62221-7835
(314) 652-4100
(314) 289-7612
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
017104
GA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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