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NPI Code Detail

MEDICARE: DR. HUSHAM HAQUE DO

MEDICARE:  DR. HUSHAM  HAQUE  DO
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianOS16613FL
2390200000XStudent in an Organized Health Care Education/Training ProgramUO5738FL

General Provider Information

NPI Number : 1356858641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUSHAM HAQUE DO
Provider Business Mailing Address
First Line : 8370 W FLAGLER ST STE 226
Second Line :
City : MIAMI
State : FL
Zip : 33144-2040
Country : US
Telephone Number : 305-928-7249
Fax Number : 305-630-3632
Provider Business Practice Location Address
First Line : 2001 W 68TH ST STE 202
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1898
Country : US
Telephone Number : 305-823-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/17/2025

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