Provider Demographics
NPI:1326011347
Name:HAQ, MOHAMED M (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:M
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11950 OLD GALVESTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4856
Mailing Address - Country:US
Mailing Address - Phone:713-947-2142
Mailing Address - Fax:832-456-6605
Practice Address - Street 1:11950 OLD GALVESTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4856
Practice Address - Country:US
Practice Address - Phone:713-947-2142
Practice Address - Fax:832-456-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2011-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF5223207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115495701Medicaid
D49671Medicare UPIN
TX115495701Medicaid