Provider Demographics
NPI:1588658512
Name:HAQUE, ABU MUHAMMAD M (MD)
Entity type:Individual
Prefix:
First Name:ABU MUHAMMAD
Middle Name:M
Last Name:HAQUE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1249 MONTAUK HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795
Mailing Address - Country:US
Mailing Address - Phone:631-968-8990
Mailing Address - Fax:631-665-0061
Practice Address - Street 1:1249 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4916
Practice Address - Country:US
Practice Address - Phone:631-968-8990
Practice Address - Fax:631-665-0061
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2023-09-26
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Provider Licenses
StateLicense IDTaxonomies
NY218363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine