Provider Demographics
NPI:1457445645
Name:HAQUE, ZAHIDA S (MD)
Entity Type:Individual
Prefix:MRS
First Name:ZAHIDA
Middle Name:S
Last Name:HAQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15160
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92175-5160
Mailing Address - Country:US
Mailing Address - Phone:619-267-4255
Mailing Address - Fax:619-267-7937
Practice Address - Street 1:2400 E 8TH ST
Practice Address - Street 2:STE A
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950
Practice Address - Country:US
Practice Address - Phone:619-267-4255
Practice Address - Fax:619-267-7937
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine