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1770582587

NPI Code Detail

MEDICARE: MOONA HAQUE MD

MEDICARE: MOONA 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	207V00000X	Obstetrics & Gynecology Physician	L0247	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160050526	OTHER	TX	MEDICARE RR-SL LOCATION
2	160050527	OTHER	TX	MEDICARE RR-SW LOCATION

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	2361214	OTHER	TX	AETNA
4	4526884-003	OTHER	TX	CIGNA
5	8801K0	OTHER	TX	BC/BS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770582587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOONA HAQUE MD

Provider Business Mailing Address
First Line	:	16651 SOUTHWEST FWY
Second Line	:	SUITE 200
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2345
Country	:	US
Telephone Number	:	713-774-5131
Fax Number	:	713-774-4336

Provider Business Practice Location Address
First Line	:	16651 SOUTHWEST FWY
Second Line	:	SUITE 200
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2345
Country	:	US
Telephone Number	:	713-774-5131
Fax Number	:	713-774-4336

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/09/2011

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Directions to “ MOONA HAQUE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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