MEDICARE: DR. ATEEQ AHMED HASEEB M.D

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
1	2084E0001X	Epilepsy Physician	35.091729	OH
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	35.091729	OH
3	2084N0600X	Clinical Neurophysiology Physician	35.091729	OH
4	2084N0400X	Neurology Physician	4301083212	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194923060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ATEEQ AHMED HASEEB M.D

Provider Business Mailing Address
First Line	:	4627 WHISTLING OAKS CT
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-2295
Country	:	US
Telephone Number	:	419-349-4408
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 CHERRY ST
Second Line	:	SUITE 2600
City	:	TOLEDO
State	:	OH
Zip	:	43608-2673
Country	:	US
Telephone Number	:	419-251-8013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	01/20/2026

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