Provider Demographics
NPI:1891789335
Name:HAQ, IHSAN UL (MD)
Entity Type:Individual
Prefix:MR
First Name:IHSAN
Middle Name:UL
Last Name:HAQ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3949 NORTH MAIN STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840
Mailing Address - Country:US
Mailing Address - Phone:419-429-1300
Mailing Address - Fax:419-429-1304
Practice Address - Street 1:3949 NORTH MAIN STREET
Practice Address - Street 2:SUITE C
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-429-1300
Practice Address - Fax:419-429-1304
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072513174400000X
OH35080907207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4778583Medicaid
MI110221626OtherRAILROAD MEDICARE
OH2143746Medicaid
MI4778583Medicaid
MIG20075Medicare UPIN
OH2143746Medicaid
OHHA4187071Medicare Oscar/Certification