Provider Demographics
NPI:1215375167
Name:HAQ, SANA (MD)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:HAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631173
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0090
Mailing Address - Country:US
Mailing Address - Phone:810-835-5238
Mailing Address - Fax:
Practice Address - Street 1:13988 DIPLOMAT DR STE 100
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-8831
Practice Address - Country:US
Practice Address - Phone:972-449-9329
Practice Address - Fax:972-430-9984
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9698207Q00000X
PAMD4622441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine