Provider Demographics
NPI:1346480233
Name:HAQQANI, HARIS MURTAZA (MBBS(HONS) PHD)
Entity Type:Individual
Prefix:DR
First Name:HARIS
Middle Name:MURTAZA
Last Name:HAQQANI
Suffix:
Gender:M
Credentials:MBBS(HONS) PHD
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Other - First Name:
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:DEPARTMENT OF CARDIOLOGY, GATES 8
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-2884
Mailing Address - Fax:
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:DEPARTMENT OF CARDIOLOGY, GATES 8
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-2884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD434569207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology