Provider Demographics
NPI:1093807950
Name:HOQUE, MOHAMMAD ANWARUL (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ANWARUL
Last Name:HOQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:M
Other - Middle Name:ANWARUL
Other - Last Name:HOQUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 421148
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-1148
Mailing Address - Country:US
Mailing Address - Phone:407-847-8282
Mailing Address - Fax:407-847-3159
Practice Address - Street 1:201 HILDA ST
Practice Address - Street 2:STE 15
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741
Practice Address - Country:US
Practice Address - Phone:407-847-8282
Practice Address - Fax:407-847-3159
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0026142207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058390100Medicaid
D70591Medicare UPIN
FL48868ZMedicare PIN