MEDICARE: DR. MONZUR HAQUE 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	208600000X	Surgery Physician	35140113	OH
2	208600000X	Surgery Physician	MT201039	PA
3	208600000X	Surgery Physician	2026000512	MO
4	208600000X	Surgery Physician	01080017A	IN

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639436314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONZUR HAQUE M.D.

Provider Business Mailing Address
First Line	:	1400 E 9TH ST
Second Line	:
City	:	ROCHESTER
State	:	IN
Zip	:	46975-8931
Country	:	US
Telephone Number	:	574-224-2248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 E 9TH ST
Second Line	:
City	:	ROCHESTER
State	:	IN
Zip	:	46975-8931
Country	:	US
Telephone Number	:	574-224-2248
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	02/04/2026

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Directions to “ DR. MONZUR HAQUE M.D.” Practice Location

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