Provider Demographics
NPI:1669460085
Name:HAQ, SABA (MD)
Entity type:Individual
Prefix:DR
First Name:SABA
Middle Name:
Last Name:HAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SABA
Other - Middle Name:NMI
Other - Last Name:HAQ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3557 ASHBOURNE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-6014
Mailing Address - Country:US
Mailing Address - Phone:949-463-0650
Mailing Address - Fax:
Practice Address - Street 1:3557 ASHBOURNE CIR
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-6014
Practice Address - Country:US
Practice Address - Phone:949-463-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101275996207P00000X
IN01051314207P00000X
FLME157625207P00000X
GA93039207P00000X
TXT8116207P00000X
OH35.141186207P00000X
MDD0094795207P00000X
DCMD210002739207P00000X
IN01051314A207PE0004X
MI4301503680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200290730Medicaid
G01917Medicare UPIN
IN941150VVVMedicare PIN
940650C5Medicare ID - Type Unspecified