MEDICARE: DR. AHMAD TAYYAB HAQ 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	208M00000X	Hospitalist Physician	9600935	NC
2	207R00000X	Internal Medicine Physician	9600935	NC

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	261835	OTHER	VA	ANTHEM BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710082425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMAD TAYYAB HAQ M.D.

Provider Business Mailing Address
First Line	:	645 N MAIN ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27260-5017
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:	336-916-4861

Provider Business Practice Location Address
First Line	:	819 N MAIN ST STE 112
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-3996
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:	336-916-4861

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	06/19/2026

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