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

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1249 15TH ST STE 3000
HUNTINGTON WV
25701-3663
US

IV. Provider business mailing address

1249 15TH ST STE 3000
HUNTINGTON WV
25701-3663
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-1000
  • Fax: 304-691-1693
Mailing address:
  • Phone: 304-691-1000
  • Fax: 304-691-1693

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: