Healthcare Provider Details

I. General information

NPI: 1679879233
Provider Name (Legal Business Name): MOHAMMED NASEEMUL HOQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25440 INTERSTATE 45 NORTH STE 200
THE WOODLANDS TX
77386
US

IV. Provider business mailing address

25440 INTERSTATE 45 NORTH STE 200
THE WOODLANDS TX
77386
US

V. Phone/Fax

Practice location:
  • Phone: 281-583-5000
  • Fax: 281-583-5099
Mailing address:
  • Phone: 281-583-5000
  • Fax: 281-583-5099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberN8405
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: