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NPI Code Detail

MEDICARE: SEEMA Y HAQUE M D P A

MEDICARE: SEEMA Y HAQUE M D P A
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
12084P0805XGeriatric Psychiatry PhysicianK9077TX

General Provider Information

NPI Number : 1134307374
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEEMA Y HAQUE M D P A
Provider Business Mailing Address
First Line : PO BOX 250885
Second Line :
City : PLANO
State : TX
Zip : 75025-0885
Country : US
Telephone Number : 972-989-6247
Fax Number : 972-359-7031
Provider Business Practice Location Address
First Line : 5515 GLEN LAKES DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4309
Country : US
Telephone Number : 214-361-8923
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SEEMA YASMEEN HAQUE
Credential : M.D.
Telephone Number : 972-727-4440
Provider Enumeration Date : 02/08/2008
Last Update Date : 02/08/2008

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