Haque, Ahsanul

Haque, Ahsanul is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Haque, Ahsanul can be contacted via phone (574) 296-3307.

Contact Information

Primary practice address
303 S Nappanee St Elkhart IN 46514-2066
Fax: (574) 296-3328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01049498A Indiana

Profile Details

NPI number 1558364372
LBN Legal business name Haque, Ahsanul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558364372 NPPES
Indiana MEDICAID 200481130

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