Provider Demographics
NPI:1487184628
Name:HAQUE, AHMED TAHMID (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:TAHMID
Last Name:HAQUE
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 1:2913 OVERLAND TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4515
Mailing Address - Country:US
Mailing Address - Phone:903-771-0873
Mailing Address - Fax:
Practice Address - Street 1:2913 OVERLAND TRL STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-4515
Practice Address - Country:US
Practice Address - Phone:903-598-9201
Practice Address - Fax:409-772-1224
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10060840207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology