Individual
ABDUL HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 E BROADWAY, LOUISVILLE, KY 40202-2007
(502) 587-0394
(502) 587-0390
Mailing address
219 E BROADWAY, PEDIATRIC AND ADULT PROMPT CARE, LOUISVILLE, KY 40202
(502) 587-0394
(502) 587-0390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64325764
—
KY
Enumeration date
11/17/2006
Last updated
11/25/2014
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