Individual
IHSAN HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4760
(573) 778-4544
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4760
(573) 778-4544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006024355
MO
207R00000X
Internal Medicine Physician
219869-1
NY
Other
Enumeration date
08/15/2006
Last updated
07/21/2022
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