Provider Demographics
NPI:1639183049
Name:HUQ, MD. NASIRUL (MD)
Entity Type:Individual
Prefix:
First Name:MD.
Middle Name:NASIRUL
Last Name:HUQ
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 1:3233 SW 33RD RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8470
Mailing Address - Country:US
Mailing Address - Phone:352-237-0130
Mailing Address - Fax:352-237-0129
Practice Address - Street 1:3233 SW 33RD RD
Practice Address - Street 2:SUITE 302
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8470
Practice Address - Country:US
Practice Address - Phone:352-237-0130
Practice Address - Fax:352-237-0129
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35949OtherBCBS
FLK3013Medicare ID - Type Unspecified
FL35949OtherBCBS