Provider Demographics
NPI:1669650362
Name:HUQ, AYDIN MOMINUL (MD)
Entity Type:Individual
Prefix:DR
First Name:AYDIN
Middle Name:MOMINUL
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 1:49 JESSE HILL, JR. DR.
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3219
Mailing Address - Country:US
Mailing Address - Phone:404-616-6673
Mailing Address - Fax:404-616-0191
Practice Address - Street 1:49 JESSE HILL, JR. DR.
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3219
Practice Address - Country:US
Practice Address - Phone:404-616-6673
Practice Address - Fax:404-616-0191
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059740207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine