Healthcare Provider Details

I. General information

NPI: 1790895746
Provider Name (Legal Business Name): MUHAMMAD S HAQ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SHEHZAD HAQ

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 1ST ST STE LL
DULUTH MN
55805-2297
US

IV. Provider business mailing address

3900 S STONEBRIDGE DR STE 1203
MCKINNEY TX
75070-8087
US

V. Phone/Fax

Practice location:
  • Phone: 218-249-7890
  • Fax:
Mailing address:
  • Phone: 468-886-8537
  • Fax: 469-930-0197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number32964
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: