MEDICARE: NASIR M HAQUE MD

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	207R00000X	Internal Medicine Physician	27101	TN

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
2	4340413	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1346225620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASIR M HAQUE MD

Provider Business Mailing Address
First Line	:	1211 UNION AVE STE 330
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-6655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 POPLAR AVE STE 530
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4840
Country	:	US
Telephone Number	:	901-348-6487
Fax Number	:	901-791-0338

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	05/14/2025

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Directions to “ NASIR M HAQUE MD” Practice Location

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