Provider Demographics
NPI:1689932352
Name:HAMMAD AL TAQ, HIBA (MD)
Entity Type:Individual
Prefix:MISS
First Name:HIBA
Middle Name:
Last Name:HAMMAD AL TAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 SADIE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-2411
Mailing Address - Country:US
Mailing Address - Phone:716-342-5929
Mailing Address - Fax:
Practice Address - Street 1:800 STANTON L YOUNG BLVD # 8400
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5018
Practice Address - Country:US
Practice Address - Phone:405-271-6173
Practice Address - Fax:405-271-5892
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32179207RP1001X
TXR0724207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine