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NPI Code Detail

MEDICARE: DR. AAISHA HAQUE M.D.

MEDICARE: DR. AAISHA HAQUE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician270724NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306816681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AAISHA HAQUE M.D.
Provider Business Mailing Address
First Line : 3506 W TYVOLA RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7201
Country : US
Telephone Number : 704-329-1300
Fax Number : 302-888-2734
Provider Business Practice Location Address
First Line : 3506 W TYVOLA RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7201
Country : US
Telephone Number : 704-329-1300
Fax Number : 302-888-2734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 04/28/2025

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