Provider Demographics
NPI:1992329734
Name:HAQUE, MOHAMMED ZUBAYEL (OD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:ZUBAYEL
Last Name:HAQUE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1205 MEMORIAL PKWY NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5930
Mailing Address - Country:US
Mailing Address - Phone:256-519-2221
Mailing Address - Fax:
Practice Address - Street 1:1205 MEMORIAL PKWY NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5930
Practice Address - Country:US
Practice Address - Phone:256-519-2221
Practice Address - Fax:256-519-2232
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-06
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-E49-TA-B78152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist