Organization
DR HAQ PRIMARY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL HAQ MD (CEO)
(502) 797-7870
Entity
Organization
Contact information
Practice address
219 E BROADWAY, LOUISVILLE, KY 40202-2007
(502) 587-0394
(502) 587-0390
Mailing address
PO BOX 123, EASTWOOD, KY 40018-0123
(502) 797-7870
(502) 587-0390
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
05/27/2011
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