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NPI Code Detail

MEDICARE: DR. SYED EAJAZ HAQ MD

MEDICARE:  DR. SYED EAJAZ HAQ  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
1207RC0000XCardiovascular Disease Physician119740NY

Other Identifiers

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

General Provider Information

NPI Number : 1467431296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED EAJAZ HAQ MD
Provider Business Mailing Address
First Line : 474 NIAGARA FALLS BLVD
Second Line : SUITE4
City : TONAWANDA
State : NY
Zip : 14223-2647
Country : US
Telephone Number : 716-833-3697
Fax Number : 716-833-3698
Provider Business Practice Location Address
First Line : 474 NIAGARA FALLS BLVD
Second Line : SUITE4
City : TONAWANDA
State : NY
Zip : 14223-2647
Country : US
Telephone Number : 716-833-3697
Fax Number : 716-833-3698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SYED EAJAZ HAQ MD” Practice Location

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