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Individual

KALEEM U HAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5601 LOCH RAVEN BLVD, STE 3, BALTIMORE, MD 21239-2905
(443) 444-3775
(443) 444-4678
Mailing address
5601 LOCH RAVEN BLVD, STE 3, BALTIMORE, MD 21239-2905
(443) 444-3775
(443) 444-4678

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0050282
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54744803
BLUE SHIELD
MD
05
571210600
MD
Enumeration date
06/30/2005
Last updated
09/27/2011
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