Individual
DR. EHSAN UL HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 CREEKWOOD CT, SPRINGFIELD, OH 45504-4056
(937) 327-0552
(937) 327-0556
Mailing address
9765 BUCKHORN DR, FRISCO, TX 75033-1320
(312) 330-3367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35036465
OH
207R00000X
Internal Medicine Physician
Primary
35036465
OH
Other
Enumeration date
09/23/2011
Last updated
09/26/2011
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