Provider Demographics
NPI:1306943022
Name:HAQ, JUNAID U (MD)
Entity type:Individual
Prefix:
First Name:JUNAID
Middle Name:U
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:68 S SERVICE RD
Mailing Address - Street 2:STE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2358
Mailing Address - Country:US
Mailing Address - Phone:571-777-5106
Mailing Address - Fax:703-563-6256
Practice Address - Street 1:4646 N MARINE DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:773-878-8700
Practice Address - Fax:708-783-0920
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2016-08-08
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Provider Licenses
StateLicense IDTaxonomies
SC21286207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC20-2660098OtherGAFFNEY MEDICAL ASSOCIATE
SCH021548625Medicare PIN