Haque, Raza Ul
Haque, Raza Ul is an individual health care provider with primary practice located at 2909 E Grand River Ave Ste 102 , Lansing MI 48912-4335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Haque, Raza Ul can be contacted via phone (517) 364-8670.Contact Information
Primary practice address
2909 E Grand River Ave Ste 102
Lansing MI 48912-4335
Phone: (517) 364-8670
Fax: (517) 364-8671
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301061792 | Michigan |
Profile Details
NPI number | 1336197706 |
---|---|
LBN Legal business name | Haque, Raza Ul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Jun 26th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336197706 | NPPES |
Michigan | MEDICAID | 1336197706 | |
Michigan | MEDICAID | 104619863 |
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