Provider Demographics
NPI:1306816681
Name:HAQUE, AAISHA (MD)
Entity Type:Individual
Prefix:DR
First Name:AAISHA
Middle Name:
Last Name:HAQUE
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 1:701 FOULK RD
Mailing Address - Street 2:SUITE 2-F
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3733
Mailing Address - Country:US
Mailing Address - Phone:302-984-2577
Mailing Address - Fax:302-888-2734
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:DEPT OF ALLERGY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-984-2577
Practice Address - Fax:302-888-2734
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-002479207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000037981Medicaid
DE1000037981Medicaid
DEI43600Medicare UPIN