Provider Demographics
NPI:1952663171
Name:HAQUE-UDDIN, SONIA JAHAN (MD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:JAHAN
Last Name:HAQUE-UDDIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:49650 CHERRY HILL RD
Practice Address - Street 2:STE 120
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4849
Practice Address - Country:US
Practice Address - Phone:734-398-7880
Practice Address - Fax:734-398-7805
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2015-08-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301101238207Q00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine