Healthcare Provider Details

I. General information

NPI: 1336482702
Provider Name (Legal Business Name): MOHAMMED MERAJUL HOQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 PALOMINO LN STE 100
LAS VEGAS NV
89106-4894
US

IV. Provider business mailing address

777 TOWNSHIP LINE ROAD SUITE 150
YARDLEY PA
19067-5567
US

V. Phone/Fax

Practice location:
  • Phone: 702-759-8600
  • Fax: 702-384-1815
Mailing address:
  • Phone: 215-860-3360
  • Fax: 215-860-3362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD492958
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number19019
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number19019
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2018-01169
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number35.154855
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number276884
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: