Haque, Mahmudul
Haque, Mahmudul is an sole proprietor health care provider with primary practice located at 805 East Garden Street , Lakeland FL 33805-4616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Haque, Mahmudul can be contacted via phone (863) 802-1111.Contact Information
Primary practice address
805 East Garden Street
Lakeland FL 33805-4616
Phone: (863) 802-1111
Fax: (863) 802-6711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME93947 | Florida |
Profile Details
| NPI number | 1699987800 |
|---|---|
| LBN Legal business name | Haque, Mahmudul |
| Credentials | MD., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Oct 30th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699987800 | NPPES |
| Florida | MEDICAID | 274846100 |
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