Provider Demographics
NPI:1548206832
Name:HAQ, IHSAN (INTERNAL MEDICINE)
Entity Type:Individual
Prefix:DR
First Name:IHSAN
Middle Name:
Last Name:HAQ
Suffix:
Gender:M
Credentials:INTERNAL MEDICINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N MACOMB ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3083
Mailing Address - Country:US
Mailing Address - Phone:734-384-2741
Mailing Address - Fax:734-384-2061
Practice Address - Street 1:901 N MACOMB ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3083
Practice Address - Country:US
Practice Address - Phone:734-384-2741
Practice Address - Fax:734-384-2061
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031344207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine