Provider Demographics
NPI:1528169992
Name:INAM UL HAQ MD PC
Entity type:Organization
Organization Name:INAM UL HAQ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:INAM
Authorized Official - Middle Name:UL
Authorized Official - Last Name:HAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-435-1831
Mailing Address - Street 1:966 50TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3309
Mailing Address - Country:US
Mailing Address - Phone:718-435-1777
Mailing Address - Fax:718-667-4380
Practice Address - Street 1:966 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3309
Practice Address - Country:US
Practice Address - Phone:718-435-1777
Practice Address - Fax:718-435-2748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1197722086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty