Provider Demographics
NPI:1326091976
Name:HAQ, ADEEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEEL
Middle Name:
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 WADE BLVD # 1330
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5894
Mailing Address - Country:US
Mailing Address - Phone:214-618-0853
Mailing Address - Fax:214-618-0859
Practice Address - Street 1:8501 WADE BLVD # 1330
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5894
Practice Address - Country:US
Practice Address - Phone:214-618-0853
Practice Address - Fax:214-618-0859
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061294A207P00000X
PAMD444600207P00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01061294AOtherSTATE LICENSE
BH9001607OtherDEA
124040Medicare UPIN